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If Small Plaque (Digitate) Parapsoriasis Is a Cutaneous T-Cell Lymphoma, Even an 'Abortive' One, It Must Be Mycosis Fungoides!

If Small Plaque (Digitate) Parapsoriasis Is a Cutaneous T-Cell Lymphoma, Even an 'Abortive' One,... Abstract In the MARCH 1995 issue of the Archives, Burg and Dummer,1 in an Editorial, advanced the thesis that "small plaque (digitate) parapsoriasis is an 'abortive' cutaneous T-cell lymphoma and is not mycosis fungoides." Their conclusion is illogical; if small plaque parapsoriasis is a cutaneous T-cell lymphoma, even an "abortive" one (according to The Oxford English Dictionary, abortive means unsuccessful), it is a lymphoma, and the T-cell lymphoma in skin characterized by scaly patches is mycosis fungoides. The concept of mycosis fungoides on which Burg and Dummer predicated their thinking is the conventional one set forth by Alibert in 1806,2 which was restated by the coauthors in these words: "Mycosis fungoides is a nosologic defined entity that progressively develops through stages reflected in changes of the clinical as well as histologic features...." But the notion of mycosis fungoides as a disease that develops progressively is at variance References 1. Burg G, Dummer R. Small plaque (digitate) parapsoriasis is an 'abortive cutaneous T-cell lymphoma' and is not mycosis fungoides . Arch Dermatol. 1995; 131:336-338.Crossref 2. Alibert JLM. Tableau du fongoide . In: Description des Maladies de la Peau Observées a l'Hospital St Louis . Paris, France: Barroisi' Aine et Fils; 1806: 157. 3. Burg G, Braun-Falco O. Cutaneous Lymphomas, Pseudolymphomas, and Related Disorders . New York, NY: Springer-Verlag NY Inc; 1983:216-217. 4. Sutton RL. Diseases of the Skin . 11th ed. St Louis, Mo: CV Mosby Co; 1956: 936-941. 5. Bluefarb SM. Cutaneous Manifestations of the Malignant Lymphomas . Springfield, Ill: Charles C Thomas Publisher; 1959:67-161. 6. Domonkos AN, ed. Andrews' Diseases of the Skin . 6th ed. Philadelphia, Pa: WB Saunders Co; 1971:226-227. 7. Katz R. Parapsoriasis . In: Fitzpatrick TB, Arndt KA, Clark WH, et al, eds. Dermatology in General Medicine . New York, NY: McGraw-Hill International Book Co; 1971. 8. Hurley HJ. Papulosquamous and exfoliative diseases . In: Moschella SL, Pillsbury DM, Hurley HJ Jr, eds. Dermatology . 2nd ed. Philadelphia, Pa: WB Saunders Co; 1975:446-448. 9. Samman PD. Reticuloses . In: Rook A, Wilkinson DS, Ebling FTG, eds. Textbook of Dermatology . 2nd ed. Oxford, England: Blackwell Scientific Publications; 1972:1384-1411. 10. Civatte A. Atlas d'Histopathologie Cutanée . Paris, France: Masson; 1957:211-252. 11. Ackerman AB. Histologic Diagnosis of Inflammatory Skin Disease: A Method by Pattern Analysis . Philadelphia, Pa: Lea & Febiger; 1978:217. 12. Sanchez JL, Ackerman AB. The patch stage of mycosis fungoides: criteria for histologic diagnosis . Am J Dermatopathol. 1979;1:5-26.Crossref 13. Arnold HL Jr, Odom RB, James WD, eds. Andrews' Diseases of the Skin: Clinical Dermatology . 8th ed. Philadelphia, Pa: WB Saunders; 1990:229. 14. Hu CH. Parapsoriasis . In: Fitzpatrick TB, Eisen AZ, Wolff K, et al, eds. Dermatology in General Medicine . 4th ed. New York, NY: McGraw-Hill International Book Co; 1993:1124-1128. 15. Burton JL. Eczema, lichenification, prurigo, and erythroderma ; In: Champion RH, Burton JL, Ebling FJG, eds. Textbook of Dermatology . 5th ed. Oxford, England: Blackwell Scientific Publications; 1992:537-588. 16. Moschella SL, Hurley HJ. Dermatology . 3rd ed. Philadelphia, Pa: WB Saunders Co; 1992:640. 17. Lever WF, Schaumburg-Lever G. Histopathology of the Skin . 7th ed. Philadelphia, Pa: JB Lippincott; 1991:166. 18. Mehregan AH, Hashimoto K, Mehregan DA, et al. Pinkus' Guide to Dermatohistopathology . 6th ed. East Norwalk, Conn: Appleton & Lange; 1995:208. 19. Darier J, Sabouraud R, Gougerot H, et al. Nouvelle Pratique Dermatologique . Paris, France: Masson; 1936:702. 20. King-Ismael D, Ackerman AB. Guttate parapsoriasis/digitate dermatosis (small plaque parapsoriasis) is mycosis fungoides . Am J Dermatopathol. 1992;14: 518-530.Crossref 21. Brocq L. Les parapsoriasis . Ann Dermatol Syphiligr. 1902;3:433-468. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

If Small Plaque (Digitate) Parapsoriasis Is a Cutaneous T-Cell Lymphoma, Even an 'Abortive' One, It Must Be Mycosis Fungoides!

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Publisher
American Medical Association
Copyright
Copyright © 1996 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1996.03890290096013
Publisher site
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Abstract

Abstract In the MARCH 1995 issue of the Archives, Burg and Dummer,1 in an Editorial, advanced the thesis that "small plaque (digitate) parapsoriasis is an 'abortive' cutaneous T-cell lymphoma and is not mycosis fungoides." Their conclusion is illogical; if small plaque parapsoriasis is a cutaneous T-cell lymphoma, even an "abortive" one (according to The Oxford English Dictionary, abortive means unsuccessful), it is a lymphoma, and the T-cell lymphoma in skin characterized by scaly patches is mycosis fungoides. The concept of mycosis fungoides on which Burg and Dummer predicated their thinking is the conventional one set forth by Alibert in 1806,2 which was restated by the coauthors in these words: "Mycosis fungoides is a nosologic defined entity that progressively develops through stages reflected in changes of the clinical as well as histologic features...." But the notion of mycosis fungoides as a disease that develops progressively is at variance References 1. Burg G, Dummer R. Small plaque (digitate) parapsoriasis is an 'abortive cutaneous T-cell lymphoma' and is not mycosis fungoides . Arch Dermatol. 1995; 131:336-338.Crossref 2. Alibert JLM. Tableau du fongoide . In: Description des Maladies de la Peau Observées a l'Hospital St Louis . Paris, France: Barroisi' Aine et Fils; 1806: 157. 3. Burg G, Braun-Falco O. Cutaneous Lymphomas, Pseudolymphomas, and Related Disorders . New York, NY: Springer-Verlag NY Inc; 1983:216-217. 4. Sutton RL. Diseases of the Skin . 11th ed. St Louis, Mo: CV Mosby Co; 1956: 936-941. 5. Bluefarb SM. Cutaneous Manifestations of the Malignant Lymphomas . Springfield, Ill: Charles C Thomas Publisher; 1959:67-161. 6. Domonkos AN, ed. Andrews' Diseases of the Skin . 6th ed. Philadelphia, Pa: WB Saunders Co; 1971:226-227. 7. Katz R. Parapsoriasis . In: Fitzpatrick TB, Arndt KA, Clark WH, et al, eds. Dermatology in General Medicine . New York, NY: McGraw-Hill International Book Co; 1971. 8. Hurley HJ. Papulosquamous and exfoliative diseases . In: Moschella SL, Pillsbury DM, Hurley HJ Jr, eds. Dermatology . 2nd ed. Philadelphia, Pa: WB Saunders Co; 1975:446-448. 9. Samman PD. Reticuloses . In: Rook A, Wilkinson DS, Ebling FTG, eds. Textbook of Dermatology . 2nd ed. Oxford, England: Blackwell Scientific Publications; 1972:1384-1411. 10. Civatte A. Atlas d'Histopathologie Cutanée . Paris, France: Masson; 1957:211-252. 11. Ackerman AB. Histologic Diagnosis of Inflammatory Skin Disease: A Method by Pattern Analysis . Philadelphia, Pa: Lea & Febiger; 1978:217. 12. Sanchez JL, Ackerman AB. The patch stage of mycosis fungoides: criteria for histologic diagnosis . Am J Dermatopathol. 1979;1:5-26.Crossref 13. Arnold HL Jr, Odom RB, James WD, eds. Andrews' Diseases of the Skin: Clinical Dermatology . 8th ed. Philadelphia, Pa: WB Saunders; 1990:229. 14. Hu CH. Parapsoriasis . In: Fitzpatrick TB, Eisen AZ, Wolff K, et al, eds. Dermatology in General Medicine . 4th ed. New York, NY: McGraw-Hill International Book Co; 1993:1124-1128. 15. Burton JL. Eczema, lichenification, prurigo, and erythroderma ; In: Champion RH, Burton JL, Ebling FJG, eds. Textbook of Dermatology . 5th ed. Oxford, England: Blackwell Scientific Publications; 1992:537-588. 16. Moschella SL, Hurley HJ. Dermatology . 3rd ed. Philadelphia, Pa: WB Saunders Co; 1992:640. 17. Lever WF, Schaumburg-Lever G. Histopathology of the Skin . 7th ed. Philadelphia, Pa: JB Lippincott; 1991:166. 18. Mehregan AH, Hashimoto K, Mehregan DA, et al. Pinkus' Guide to Dermatohistopathology . 6th ed. East Norwalk, Conn: Appleton & Lange; 1995:208. 19. Darier J, Sabouraud R, Gougerot H, et al. Nouvelle Pratique Dermatologique . Paris, France: Masson; 1936:702. 20. King-Ismael D, Ackerman AB. Guttate parapsoriasis/digitate dermatosis (small plaque parapsoriasis) is mycosis fungoides . Am J Dermatopathol. 1992;14: 518-530.Crossref 21. Brocq L. Les parapsoriasis . Ann Dermatol Syphiligr. 1902;3:433-468.

Journal

Archives of DermatologyAmerican Medical Association

Published: May 1, 1996

References