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Hello, I just wanted to share my experience and see if anyone has any suggestions or similar experiences of dealing with this condition!

Lady aged 70 self referred to podiatry as she decided she would like some help with the cracked skin underneath her heels. She is seeing Dermatology once a year for Mycosis fungoides (which also affects her hands).

They supplied a short course of systemic anti-fungal medication, and once this had finished gave her steroid cream and anti-fungal cream. She presented to us with macerated skin on the plantar aspect of both feet and painful superficial fissures. Dermatology had given her some kind of gaffer tape (patient's description!) to put onto the fissures.

Myself and a colleague advised against the use of the tape and to apply dry dressings onto the fissures to reduce the maceration, which seems to have improved things as the skin is now hard enough to be debrided, but she still has a typical fungal-type rash on both plantar forefeet, and she has 2 persistant fissures in the middle of both heels.

Does anyone know anything about this condition? from what I gather it is a lifelong condition which can't be cured. The Dermatology dept did not seem to give the patient any idea about long-term treatment.

Any thoughts would be appreciated!
Cheers

 

Hi,


Mycosis fungoides is the most common type of CTCL (cutaneous T-cell lymphomas), I haven`t seen any first hand, but remember reading about it at this link;

http://www.dermnetnz.org/dermal-infiltrative/cutaneous-t-cell-lymphoma.html


Cheers,
Bel

 

great, thanks for that link!

 

Mycosis fungoides

Most common form of cutaneous T-cell lymphoma

Medical condition

Mycosis fungoides, also known as Alibert-Bazin syndrome or granuloma fungoides,^[1] is the most common form of cutaneous T-cell lymphoma. It generally affects the skin, but may progress internally over time. Symptoms include rash, tumors, skin lesions, and itchy skin.

While the cause remains unclear, most cases are not hereditary. Most cases are in people over 20 years of age, and it is more common in men than women. Treatment options include sunlight exposure, ultraviolet light, topical corticosteroids, chemotherapy, and radiotherapy.

1. ^ synd/98 at Who Named It?

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