Cutaneous T-cell lymphoma

CASE 57


 


Cutaneous T-cell lymphoma


QUESTION 57


A 58-year-old African American man presents as a referral for the evaluation of a patchy, erythematous, pruritic rash that is primarily on his trunk and legs. The rash has been present for about 20 years and has expanded progressively from initially involving his lower back and buttock to spreading to his legs and upper back. Previous biopsies have been performed, which showed a possible contact dermatitis. He was also treated with numerous antifungal shampoos and creams, but showed no improvement. On examination, there are numerous eczematous erythematous patches and plaques on the back, chest, arms and legs, involving approximately 75% of the patient’s total body surface area (57a, b).


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i. This patient’s disease most likely falls within what group of conditions?


ii. What are the histopathologic findings of this disease, and what additional testing can lead to a specific diagnosis?


iii. What are the treatment options?


Answer 57

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Mar 5, 2018 | Posted by in Dermatology | Comments Off on Cutaneous T-cell lymphoma

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