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Mycosis fungoides (MF) has a wide range of clinical presentations. Some clinical variants are associated with characteristic immunophenotypes. Researchers explored the significance of melanocytes in one such variant, hypopigmented MF (HMF).
They compared hypopigmented lesions and normal skin from 18 HMF patients (median age, 41.5 years; 2:1 women) and nonhypopigmented lesions from 8 patients with conventional MF. Neoplastic immunophenotyping and melanocyte immunostaining showed that the CD8+ immunophenotype was significantly more common in HMF than in conventional MF (14 of 18 specimens vs. 1 of 8). Staining showed significant decreases in the markers Melan-A, tyrosinase, and MiTF-1 and its modulator CD117 in hypopigmented HMF lesions compar…