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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Fortunately&#44; few cases of primary cutaneous lymphoma and mycosis fungoides &#40;MF&#41; are seen in pediatric patients&#46; In my experience&#44; as head of the Lymphoma Unit at Hospital Universitario Basurto&#44; in Bilbao&#44; Spain&#44; I have seen just 2 cases of MF&#44; both classic&#44; with an onset before the age of 18 years&#46; The course of disease was more aggressive than usual in both patients&#46; One of the patients died at the age of 33 years following allogeneic hematopoietic progenitor cell transplantation and the other developed tumor-stage MF &#40;IIB&#41;&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">In this issue of <span class="elsevierStyleItalic">Actas Dermo-Sifiliogr&#225;ficas</span>&#44; Bettina Cervini A et al&#46; present 14 cases of MF&#44; most of which were hypopigmented&#44; from a pediatric hospital&#46; I recently had the opportunity to see a similar case in an immigrant girl who had been diagnosed in Columbia&#46; Hypopigmented MF is more common in patients with dark skin &#40;Fitzpatrick skin types <span class="elsevierStyleSmallCaps">iv-v</span>&#41;&#44; as evidenced by the literature&#44; and we may therefore see an increasing number of cases in our setting&#46; The main entity that should be contemplated in the differential diagnosis is pityriasis alba&#46; This is a very common condition in pediatric settings&#44; but the possibility of hypopigmented MF needs to be considered in cases that are refractory to treatment or that do not follow a typical course&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Reading this article will help us to do this&#46;</p></span>"
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Commentary
Mycosis Fungoides in Pediatric Patients: A Diagnostic Challenge
Micosis fungoide en pacientes pediátricos: un reto diagnóstico
Rosa Izu Belloso
Autor para correspondencia
Servicio de Dermatología, Hospital Universitario de Bilbao, Bilbao, Vizcaya, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Fortunately&#44; few cases of primary cutaneous lymphoma and mycosis fungoides &#40;MF&#41; are seen in pediatric patients&#46; In my experience&#44; as head of the Lymphoma Unit at Hospital Universitario Basurto&#44; in Bilbao&#44; Spain&#44; I have seen just 2 cases of MF&#44; both classic&#44; with an onset before the age of 18 years&#46; The course of disease was more aggressive than usual in both patients&#46; One of the patients died at the age of 33 years following allogeneic hematopoietic progenitor cell transplantation and the other developed tumor-stage MF &#40;IIB&#41;&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">In this issue of <span class="elsevierStyleItalic">Actas Dermo-Sifiliogr&#225;ficas</span>&#44; Bettina Cervini A et al&#46; present 14 cases of MF&#44; most of which were hypopigmented&#44; from a pediatric hospital&#46; I recently had the opportunity to see a similar case in an immigrant girl who had been diagnosed in Columbia&#46; Hypopigmented MF is more common in patients with dark skin &#40;Fitzpatrick skin types <span class="elsevierStyleSmallCaps">iv-v</span>&#41;&#44; as evidenced by the literature&#44; and we may therefore see an increasing number of cases in our setting&#46; The main entity that should be contemplated in the differential diagnosis is pityriasis alba&#46; This is a very common condition in pediatric settings&#44; but the possibility of hypopigmented MF needs to be considered in cases that are refractory to treatment or that do not follow a typical course&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Reading this article will help us to do this&#46;</p></span>"
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ISSN: 15782190
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