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September 2005

Granulomatous Slack Skin With Extracutaneous Involvement

Arch Dermatol. 2005;141(9):1178-1179. doi:10.1001/archderm.141.9.1178

Granulomatous slack skin (GSS) is a rare variant of cutaneous T-cell lymphoma. Extracutaneous involvement of GSS has rarely been described.1 We report a 22-year-old man who had dark brown plaques and flaccid skin on his trunk and extremities for 6 years, slight fever, malaise, and sweating in the night for 2 years.

We found a pale and fatigued man with a body temperature of 38.0°C. He was 169 cm high and had a body weight of 50 kg. A skin examination revealed infiltrative brown plaques on the left forearm and legs with multiple deep ulcers. The skin on the plaques was extremely atrophic with obvious subcutaneous varicose veins. The skin on his neck and trunk was wrinkled, dry, and ichthyotic-like. The right gluteus maximus muscle was obviously atrophic. Enlarged and coalescent lymph nodes were notable in the axillary and inguinal folds (Figure 1).

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