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E. Coninck, Youn Kim, A. Varghese, R. Hoppe (2001)
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EDITORIAL A Food and Drug Administration–Approved Skin-Directed Therapy for Early-Stage Cutaneous T-Cell Lymphoma YCOSIS FUNGOIDES (MF) is the most 67 patients diagnosed as having stages IA through IIA common primary cutaneous T-cell MF (and 1 protocol deviation of stage IIB) who had up lymphoma (CTCL). It is character- to 50% body surface area involvement (mean, 11.7%). ized by malignant T cells that infil- The results of the study showed that bexarotene gel was M trate the skin or extracutaneous sites. well tolerated and efficacious. The most frequent ad- Early-stage MF (limited, generalized patch, and plaque, verse effects were local irritation and erythema, which T1 and T2, stages IA-IIA) is typically limited to the skin. correlated with increases in concentration and fre- Subsequently, the management of early-stage MF fre- quency of application. Most patients tolerated the gel with quently involves skin-directed therapies, which include brief periods of discontinuation, and 35 patients (52%) topical glucocorticoids, nitrogen mustard (mechloretha- applied the gel for longer than a year. Serum sample mea- mine hydrochloride), carmustine, UV-B radiation, pso- surements to assess systemic absorption did not reveal ralen–UV-A radiation, and electron-beam radiation clinically significant levels. Sixty-three percent of pa- therapy. Aggressive therapy with combination chemo-
JAMA Dermatology – American Medical Association
Published: Mar 1, 2002
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