Indian Journal of Dermatology
  Publication of IADVL, WB
  Official organ of AADV
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Year : 2006  |  Volume : 51  |  Issue : 2  |  Page : 115-117

Hypopigmented mycosis fungoides in a twenty-year-old Saudi woman with fair skin

1 Department of Dermatology, Qatif Central Hospital, Qatif, Kingdom of Saudi Arabia
2 Department of Pathology, Qatif Central Hospital, Qatif, Kingdom of Saudi Arabia
3 Department of Pathology, Salmaniya Medical Complex and Arabian Gulf University, Bahrain, Saudi Arabia

Correspondence Address:
N A Ansari
Department of Pathology, Arabian Gulf University, P. O. Box - 22979, Bahrain, Saudi Arabia

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5154.26932

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The hypopigmented variant of mycosis fungoides (MF) is charactrized by the presence of hypopigmented patches as the sole manifestation of the disease. This variant is usually observed in the dark skin of African or Asian individuals particularly children, but nevertheless is an uncommonly reported presentation of the disease. The incidence of hypopigmented MF in Caucasian patients and others of fair skin color is rare. We describe hypopigmented lesions arising in a twenty-year-old Saudi woman with type IV skin color. The diagnosis of mycosis fungoides stage IA was made based on the clinico-radiological and histological features. The patient responded well to PUVA therapy and is currently clear of lesions. MF should be considered in the differential diagnosis of hypopigmented macular lesions in patients of any skin color and age. Multiple skin biopsies must be performed on different occasions so as not to miss the diagnosis; and long term follow up is recommended since recurrence is common and occasional cases behave aggressively.

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