Mycosis Fungoides: The great imitator

Introduction: Mycosis fungoides although a cutaneous T-Cell lymphoma can immitate many dermatological disorders. A 60 year old man presented to our hospital with generalized annular plaques, few with verrucous surface. The annular lesions imitated Psoriasis, Tinea, Syphilis and the diagnosis was in dilemma. Histopathology gave the light and path to diagnosis. Case report: A 60 year old man presented with complains of erythematous scaly lesions since 20 year, Lesions were initially flat and erythematous which later became ulcerated, crusted and painful. H/O exacerbation and remission was present. Conclusions: Mycosis Fungoides is a great imitator both clinically and histopathologically. We are presenting a case report of patient with Mycosis Fungoides, Stage IIA

Assessment of clinical VIDA score, lesional and perilesional dermoscopy to evaluate stability of the disease in vitiligo

Introduction: Vitiligo is a complex dermatosis with an uncertain etiology, variable clinical presentations, an unpredictable course and prognosis, and difficult to treat. Surgical intervention is recommended for patients with a stable, nonprogressive vitiligo. Dermoscopy can detect the subtle changes in the pigmentary pattern and aid in the diagnosis of evolving lesions. This study was undertaken to measure the stability of the disease by classifying the patients as clinically stable and active and observing dermatological parameters. Objective: The aim of the study is to evaluate assess the correlation between the clinical and dermoscopic features in stable and active cases of vitiligo. Materials and Methods: Forty patients of vitiligo. Clinical VIDA score and six lesional and perilesional dermoscopic parameters were analyzed. Statistical analysis was done to determine their correlation. Results: Altered pigment network (91.6%) was the most observed dermoscopic feature followed by perifollicular depigmentation (66.7%) in clinically unstable patients and altered pigment network (87.5%) followed by leucotrichia (68.8%) was seen in clinically stable patients. However, vascularity and Koebner's phenomena failed to produce the same. Conclusion: Lesional and perilesional dermoscopic examination together for the above four parameters (pigmentary network, perifollicular changes, perilesional hypopigmentary macules, and leucotrichia) will produce reliable diagnostic approach for differentiating patients as clinically stable or unstable along with clinical VIDA score