Deck-chair sign as a diagnostic clue for insidious T-cell lymphoma: An autopsy case of mycosis fungoides.

Deck-chair sign Mycosis fungoides Papuloerythroderma of Ofuji T-cell lymphoma

Journal

Legal medicine (Tokyo, Japan)
ISSN: 1873-4162
Titre abrégé: Leg Med (Tokyo)
Pays: Ireland
ID NLM: 100889186

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 20 04 2023
revised: 11 09 2023
accepted: 24 09 2023
medline: 20 11 2023
pubmed: 2 10 2023
entrez: 1 10 2023
Statut: ppublish

Résumé

Skin reflects the presence of systemic diseases, leading to an unexpected diagnosis of insidious diseases. Deck-chair sign is a unique skin eruption characterized by widespread erythematous papules that become erythrodermic with spare skin folds. An association between the deck-chair sign and malignancies, especially hematological neoplasms, has been suggested. We report a forensic case of mycosis fungoides unexpectedly diagnosed in the presence of a deck-chair sign. Mycosis fungoides is representative of cutaneous T-cell lymphomas. Here, we successfully demonstrated the feasibility of analyzing mycosis fungoides in a forensic autopsy case using basic histopathology and serology. We emphasize that the underlying malignancy should be primarily considered in cadavers with a positive deck-chair sign and review current reports about this characteristic skin manifestation.

Identifiants

pubmed: 37778204
pii: S1344-6223(23)00136-0
doi: 10.1016/j.legalmed.2023.102326
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

102326

Informations de copyright

Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Atsushi Yamada (A)

Department of Legal Medicine, Kyorin University, Faculty of Medicine, Tokyo, Japan; Department of Dermatology, Jichi Medical University Saitama Medical Center, Saitama, Japan. Electronic address: yamalegm@ks.kyorin-u.ac.jp.

Naoka Umemoto (N)

Department of Dermatology, Jichi Medical University Saitama Medical Center, Saitama, Japan.

Hiroaki Shimoyamada (H)

Department of Pathology, Kyorin University, Faculty of Medicine, Tokyo, Japan.

Toshio Demitsu (T)

Department of Dermatology, Jichi Medical University Saitama Medical Center, Saitama, Japan.

Osamu Kitamura (O)

Department of Legal Medicine, Kyorin University, Faculty of Medicine, Tokyo, Japan.

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Classifications MeSH