title: Childhood Hypopigmented Mycosis Fungoides: A Rare Diagnosis.
abstract: Primary cutaneous lymphomas (PCL) are rare in pediatrics. Mycosis fungoides (MF) is the most frequent PCL diagnosed in childhood. There are various clinical variants of MF, including the hypopigmented MF (HMF). We present a 5-year-old boy with an 18-month history of progressive, generalized, nonpruritic hypopigmented lesions with central lacy erythema. He had no improvement with emollients. Skin biopsy showed typical features of HMF. He was treated with topical corticosteroids and tacrolimus and narrow-band ultraviolet B (NBUVB) phototherapy, with good response. HMF may mimic multiple skin disorders. Unusual hypopigmented skin lesions should be biopsied. Though phototherapy is effective, recurrence is common.
authors.affiliation: Pediatrics Department, Hospital de Braga, Sete Fontes, São Victor, 4710-243 Braga, Portugal.
authors.forename: Cláudia
authors.identifier: 0000-0003-0961-3244
authors.initials: C
authors.lastname: Patraquim
authors.affiliation: Pediatrics Department, Hospital de Braga, Sete Fontes, São Victor, 4710-243 Braga, Portugal.
authors.forename: Maria Miguel
authors.identifier: 0000-0002-1728-9387
authors.initials: MM
authors.lastname: Gomes
authors.affiliation: Pediatrics Department, Hospital de Braga, Sete Fontes, São Victor, 4710-243 Braga, Portugal.
authors.forename: Carla
authors.initials: C
authors.lastname: Garcez
authors.affiliation: Pediatrics Department, Portuguese Oncology Institute of Porto Francisco Gentil, 4200-072 Porto, Portugal.
authors.forename: Filipa
authors.initials: F
authors.lastname: Leite
authors.affiliation: Pediatrics Department, Portuguese Oncology Institute of Porto Francisco Gentil, 4200-072 Porto, Portugal.
authors.forename: Tereza
authors.initials: T
authors.lastname: Oliva
authors.affiliation: Dermatology Department, Portuguese Oncology Institute of Porto Francisco Gentil, 4200-072 Porto, Portugal.
authors.forename: António
authors.initials: A
authors.lastname: Santos
authors.affiliation: Pediatrics Department, Portuguese Oncology Institute of Porto Francisco Gentil, 4200-072 Porto, Portugal.
authors.forename: Armando
authors.initials: A
authors.lastname: Pinto