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Case for Therapeutic Recommendations: Mycosis Fungoides. Presented by Dr. Walter S. Green and Dr. Laurence J. Underwood.
C. C. L. is a 74-year-old white man who has had erythematous, scaly plaques densely distributed over his trunk and extremities for more than 20 years. During the past five years the plaques have increased in number and size. Many becoming indurated and lesions also developing on the faceand neck. Itching has been minimal until the past year.
Roentgen therapy (approximately 2 erythema doses) was given in 1949 by radiologists to the trunk and extremities.
Biopsy specimens taken in 1948, 1950, and 1952 have been interpreted microscopically to be consistent with mycosis fungoides. Blood cell counts have been normal except for a recent monocytosis (15%).
Microscopic-section and kodachrome® photographs are presented with the case.
Mycosis Fungoides. Presented by Dr. Donald Rosman.