International Journal of Clinical & Medical Images

Introduction: Cutaneous lymphomas are a group of disorders characterised by localisation of malignant lymphocytes to the skin. The most common subtypes of primary cutaneous T-cell lymphomas are mycosis fungoides (MF) and Sezary syndrome (SS). We present a case of rapidly progressive mycosis fungoides who initially presented with erythematous plaques.

Keywords: Cutaneous T-cell lymphoma; Mycosis fungoides (MF); Sezary syndrome (SS)

Case Presentation: A 53 year old lady presented initially with 4 months history of polymorphic patch over her right flank. It became raised and tender lump developed within few weeks which were initially considered as an abscess. An excision biopsy was performed and diagnosis of primary cutaneous T-cell lymphoma or T-cell lymphoma of unspecified origin was made. Immunohistochemistry was positive for CLA and CD3 and negative for CD20, cytokeratins AE1/3 and CK 8/18. S100, HMB45 and CD30 were also negative. A staging CT scan was normal. No weight loss, night sweats or fever was noted in the history and past medical history