|Comments from Faculty and Members
Robert I. Rudolph, M.D., FACP, Clinical Professor of Dermatology
University of Pennsylvania, Philadelphia, PA, USA on March 14, 2010
Great, instructive, yet scary case.
This fellow probably would benefit from aggresive PUVA and/or topical Targretin. He may need some radiation (yes, I know he has it on the scrotum, but he still may need it there).
I'd consult Peter Heald at Yale, or Alain Rook at Penn - both CTCL mavens.
Fadi Hajjaj MBBS, DDSc, MSc, Postgraduate Doctor (MD Degree), Department of Dermatology, Cardiff University, Cardiff, UK on March 15, 2010
Thanks for this interesting case presentation. This is a typical text-book case of CTCL. Suggest follow up all patients with the diagnosis of pityriasis lichnoides chronica (PLC) and Lymphomatoid papulosis (LP)
Sunil Dogra M.D. , Assistant Professor, Dermatology, PGIMER, Chandigarh, India on March 19, 2010
Transformation from PLC to MF is uncommon. However, we have seen this phenomenon in 3-4 young adolescent patients in last 5 years at our center. I would recommend to start on systemic low dose methotrexate (15mg/week) along with topical steroids or bexarotene.
Baseline investigations including USG abdomen/pelvis/scrotum, blood cell counts should be done. It is important to keep patient on long term follow up.