CD4/CD8 dual-positive mycosis fungoides: A case report and literature review.

Abstract:

RATIONALE:Mycosis fungoides (MF) is the most common cutaneous T-cell lymphoma. It appears as patches, plaques, and tumors depending on the stage of the disease, which presents a chronic progressive course. Compared to CD4/CD8 MF, CD4/CD8 dual-positive MF is an uncommon immune phenotype. PATIENT CONCERNS:A 36-year-old male patient presented with dryness and scales on his whole body. DIAGNOSIS:The patient was diagnosed with MF based on results of pathological examination, immunohistochemical staining, and T-cell receptor gene rearrangement test. INTERVENTIONS:The patient was advised to take an herbal medicine orally twice daily and apply a topical moisturizer after showering. OUTCOMES:After treatment and follow-up, the patient's symptoms of dryness and scales improved and his condition stabilized. CONCLUSIONS:While reviewing the literature, we found no previous reports on the treatment of dual-positive MF with Chinese medicine. In this report, we presented the first case of dual-positive MF successfully treated with Chinese medicine. The results suggest that oral ingestion of herbal medicine may be a feasible method for alleviating clinical symptoms of early stage MF. Therefore, the therapy should be explored for clinical use in the future.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Ding X,Chen J,Kuai L,Xing M,Ru Y,Luo Y,Luo Y,Zhou M,Li B,Li X

doi

10.1097/MD.0000000000022786

subject

Has Abstract

pub_date

2020-10-16 00:00:00

pages

e22786

issue

42

eissn

0025-7974

issn

1536-5964

pii

00005792-202010160-00083

journal_volume

99

pub_type

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