@article{21493,
  keywords = {Antimetabolites, Antineoplastic, Cell Transformation, Neoplastic, Deoxycytidine, Diagnostic Errors, Disease Progression, Granuloma, Humans, leprosy, Magnetic Resonance Imaging, Male, Middle Aged, Muscle Weakness, Mycosis Fungoides, Skin Neoplasms, Treatment Outcome},
  author = {Siriphukpong S and Pattanaprichakul P and Sitthinamsuwan P and Karoopongse E},
  title = {Granulomatous mycosis fungoides with large cell transformation misdiagnosed as leprosy.},
  abstract = {<p><b>BACKGROUND: </b>Granulomatous mycosis fungoides is an unusual histopathological variant of cutaneous T-cell lymphoma without clinical distinction from classic mycosis fungoides. Symptoms associated with peripheral nerve involvement have rarely been reported in the literature.</p><p><b>CASE REPORT: </b>The authors described a case of granulomatous MF stage IIB with large cell transformation who initially presented with leprosy-like condition and chronic left peroneal neuropathy The patient received six courses ofgemcitabine with greater than 90% improvement of skin lesions. The rest of the lesions were successfully treated with local electron beam radiation.</p><p><b>CONCLUSION: </b>Granulomatous MF with neuropathy can be clinically misdiagnosed if there is no histopathological and immunohistochemical finding to support the diagnosis of lymphoma.</p>},
  year = {2010},
  journal = {Journal of the Medical Association of Thailand = Chotmaihet thangphaet},
  volume = {93},
  pages = {1321-6},
  month = {2010 Nov},
  issn = {0125-2208},
  url = {http://www.mat.or.th/journal/files/Vol93_No.11_1321_6270.pdf},
  language = {eng},
}