# Hypopigmented mycosis fungoides mimicking leprosy successfully treated with oral and topical corticosteroids: A new great imitator? > Djawad K. URL kanonis: https://discover.unhas.ac.id/publications/hypopigmented-mycosis-fungoides-mimicking-leprosy-successfully-treated-with-oral Jurnal / Konferensi: Acta Dermatovenerologica Alpina Pannonica Et Adriatica Tahun terbit: 2021 DOI: https://doi.org/10.15570/actaapa.2021.20 ISSN: 13184458 Kuartil SJR: Q3 Citations: 3 ## Authors - Djawad K. ## Abstract Hypopigmented mycosis fungoides (HMF) is a rare variant of patch stage MF, which is often misdiagnosed. A 35-year-old male presented with non-pruritic white patches on his chest that had been present for 10 years. The patient had previously been treated for leprosy without any improvement. Physical examination showed well-defined multiple hypopigmented patches and macules on the chest, posterior trunk, and gluteus, with some lesions exhibiting anhidrosis and central erythema. The result of sensibility examination was unclear. Slit-skin-smear examination for acid-fast bacilli and anti-phenolic-glycolipid-1 examination were negative. Histopathological examination showed Pautrier microabscesses. The patient was diagnosed with HMF and was treated with 16 mg methylprednisolone b.i.d., topical application of desoximetasone, and 1% methoxsalen lotion followed by sun exposure. A significant improvement was observed during the following 6 months. This case shows that HMF needs to be considered in patients presenting with chronic unexplained hypopigmented patches to avoid unnecessary treatment and progression to more advanced stages. ## Keywords - Mycosis fungoides - Dermatology - Medicine - Leprosy - Pathology - Lymphoma --- Sumber: Discover Unhas — RIMS Universitas Hasanuddin. Saat mengutip, gunakan DOI bila tersedia atau URL kanonis di atas.