The challenge of managing Mycosis Fungoides: a case report

Objective: To report a case of mycosis fungoides in a patient monitored by the Santa Casa de Misericórdia de Vitória Hospital (HSCMV) who died. Method: after approval by the Research Ethics Committee, we retrieved the patient's records from the HSCMV information system and reviewed the document retrospectively for the case description.. Case report: Male, 60 years old, attended an appointment in 2017 with the complaint of xerosis, pruritus, and pain. He underwent a biopsy of skin lesions on the dorsum and abdomen that diagnosed mycosis fungoides. Despite treatment with phototherapy and methotrexate, the disease progressed. In 2021, he was admitted to the HSCMV and started chemotherapy without complete remission. He evolved to death by septic shock in February 2022. Final considerations: Mycosis fungoides presents itself in a nonspecific form, making the diagnosis a challenge. Thereby, it could delay the establishment of effective treatment, worsening the prognosis