Yasmeena Khan, Jameel Khatri.
Cutaneous Lymphoma.
J Pak Assoc Derma Jan ;10(3):56-8.

Lymphoma in the skin may occur primarily or may represent extension of systemic disease. Advance in our ability to determine specific characteristics of the infiltrating cells have allowed greater understanding of cutaneous lymphomas in terms of differentiation from benign lymphoid aggregates and precise subclassification of primary cutaneous lymphoma (PCL).

CASE REPORT: A fifty years old male presented to the dermatology clinic with papular eruption on face and neck since six months Fig.l . The lesions were painless, non pruritic and not associated with discharge or bleeding. Size varied from 2-3 mm. A year back he was diagnosed to be suffering from hepatitis C and was treated with interferons for six months. Treatment had ended three months before he developed the skin lesions. Patient gave a history of myocardial infarct in the past. He had been smoking twenty cigarettes daily for past ten years. There was no history of blood transfusion. On examination, he was healthy looking and besides the skin lesions, no other abnormality was foun in any of the systems. In laboratory investigation CBC, platelets, ACE and LFTs were normal, Montoux test was 7 mm. Significant finding in C.T. Scan of chest and upper abdomen was the presence of enlarged para aortic lymph nodes at level of L4 upto 1 Cm in size and presence of bilateral axillary lymph adenopathy measuring upto 1.5 cm on the right and 1.3 on the left.

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