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Article
June 1961

NEW YORK ACADEMY OF MEDICINE, SECTION ON DERMATOLOGY AND SYPHILOLOGY

Arch Dermatol. 1961;83(6):1052-1056. doi:10.1001/archderm.1961.01580120164046
Abstract

Mycosis Fungoides. Presented by Dr. James T. Hearin and (by invitation) Dr. James P. Fields, United States Public Health Service Hospital, Staten Island, N.Y. 

Patient.—  A 45-year-old Puerto Rican man.

Complaint.—  Generalized pruritic eruption since 1943.

History.—  The patient first noted light-colored spots on the hands and forearms in 1936. These were asymptomatic until 1943 when pruritis was noted. In 1944 thickened and hyperpigmented lesions of the skin developed and gradually became rather generalized. In 1954, after repeated skin biopsies, the diagnosis of mycosis fungoides was established.Treatment has consisted of roentgen therapy to the larger, more pruritic lesions. In 1955 the patient developed a large, ulcerative fungating lesion in the left lower scapular area, which proved to be reticulum-cell lymphosarcoma. A good response was attained after 2 courses of roentgen therapy and a course of systemic nitrogen mustard. In 1956 new lesions developed over the trunk, and a biopsy

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