Mycosis Fungoides. Presented by Dr. Joseph N. Aaron and Dr. Donald D. Eddy (by invitation).
Patient is a 49-year-old man with a 9-year history of a progressive skin eruption. In 1952 he developed a nonpruritic scaling eruption of the extremities. Over the next 3 years he had subsequent exacerbations of the eruption, with variable pruritus. In 1955 the eruption became generalized and psoriasiform and has continued unabated since that time. In 1959 he was treated with 10 superficial conventional x-ray spray treatments (100 kv., HVL 1 mm. al.) to a total of 750 r, with no improvement. In 1959 he developed large indurated plaques and nodules of the trunk and extremities, some of which have shown slight ulceration.Examination now shows a generalized scaly erythroderma with some purplish areas. There are many 2-10 cm. hyperkeratotic, verrucoid tumefactions present on trunk and extremities. The palms and soles show psoriasiform keratotic changes.
Joseph HL, Epstein JE, Bennett JH. SAN FRANCISCO DERMATOLOGICAL SOCIETY. Arch Dermatol. 1961;84(5):885–887. doi:10.1001/archderm.1961.01580170179029