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At first they though it was Mycosis fongoides but after 6 months of therapy which includes phototherapy there was no result (he was told there is no need for chemo in his case) and he was told that was an aggrassive form which is called Follicular mycosis fongoides

TCR-induced transmembrane signaling by peptide/MHC class II via associated Ig-alpha/beta dimers

Cystic : Inarguably the most severe form of acne, cystic eruptions are deep-seated, pus-filled, and require immediate attention for healing

doi: 10.1186/s13018-021-02771-1