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Plaque stage mycosis fungoides treated with bexarotene at low dosage and UVB-NB
Journal of Dermatological Treatment , 07/23/09
D'Acunto C et al. - In a case study of mycosis fungoides (MF) unresponsive to conventional therapy, subsequently treated with bexarotene and narrow-band ultraviolet B (UVB-NB), it appears that the combined therapy UVB-NB and bexarotene may be considered as an alternative treatment to psoralen and ultraviolet A (PUVA) and bexarotene.
Methods- MF is the most common form of cutaneous T-cell lymphoma (CTCL), a non-Hodgkin lymphoma characterized by proliferation of atypical epidermotrophic helper/memory T cells in the skin.
- Therapeutic management includes topical therapy such as topical corticosteroids, topical chemotherapy or phototherapy; or systemic therapy such as PUVA, extracorporeal phototherapy, radiation, and mono or polychemotherapy.
- Bexarotene belongs to a new subclass of retinoids, binding primarily the nuclear hormone receptors RXRs.
- Bexarotene has the same effect as its natural counterpart: 9-cis-retinoic acid.
- Bexarotene may be used alone or in association with interferon alfa, interferon gamma, extracorporeal photophoresis and PUVA.
- 75 mg/day of bexarotene associated with 0.3 J/cm2 UVB-NB was used as an initial dose.
- After 8 wks, clinical lesions markedly improved without recording hypercholesterolemia or hypothyroidism.
- During follow-up, no relapses were detected.
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