A 51-year-old man presented with pruritic rash over his arms, abdomen, and joints for two years. He was treated for psoriatic dermatitis with no effect. His skin lesion progressed steadily and a skin biopsy was performed (Figs. 62.1 and 62.2). Peripheral blood (Fig. 62.3) and bone marrow (Fig. 62.4) examinations showed atypical lymphoid cells. After the correct diagnosis, his treatment produced temporary improvement of the skin lesions, but the disease progressed rapidly afterwards with involvement of 90% of his body surface area. He was noted to have axillary and groin lymphadenopathy and a lymph node biopsy was performed (Fig. 62.5).
KeywordsMycosis Fungoides Atypical Lymphocyte Cutaneous Lymphoma Dermal Epidermal Junction Pruritic Rash
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