Department of Dermatology, Johns Hopkins University School of Medicine, 601 North Caroline Street, 8th Floor, Baltimore, MD 21287, USA.
Department of Dermatology, Cutaneous Lymphoma Program, Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Boulevard, 1st Floor, Philadelphia, PA 19104, USA.
Hematol Oncol Clin North Am. 2024 Oct;38(5):1087-1110. doi: 10.1016/j.hoc.2024.05.012. Epub 2024 Jul 29.
Cutaneous T-cell lymphoma is a group of non-Hodgkin T-cell lymphomas that develop in and affect the skin but can potentially spread to other organs. There are many subtypes, the most common of which are mycosis fungoides, Sezary syndrome, lymphomatoid papulosis, and primary cutaneous anaplastic large cell lymphoma. Cutaneous lymphoma is a common cause of recalcitrant chronic skin rash and notoriously mimics other dermatologic and hematologic conditions, often resulting in diagnostic delays of months to years. This review provides an introduction to cutaneous T-cell lymphoma, with a primary focus on the clinical presentation, diagnosis, immunopathogenesis, and management of the condition.
皮肤 T 细胞淋巴瘤是一组非霍奇金 T 细胞淋巴瘤,发生在皮肤并影响皮肤,但可能扩散到其他器官。有许多亚型,其中最常见的是蕈样真菌病、Sezary 综合征、淋巴瘤样丘疹病和原发性皮肤间变性大细胞淋巴瘤。皮肤淋巴瘤是一种常见的难治性慢性皮疹的病因,并且以模仿其他皮肤科和血液科疾病而臭名昭著,通常导致数月至数年的诊断延迟。本文主要介绍皮肤 T 细胞淋巴瘤,重点介绍其临床表现、诊断、免疫发病机制和治疗。