To the Editor.—
Though there are many nonspecific skin signs associated with Hodgkin disease, the following patient represents the first observation, to my knowledge, of pigmented purpuric lichenoid dermatosis of Gougerot and Blum with Hodgkin disease.
Report of a Case
A 33-year-old white man was seen in the Dermatology Clinic at the Albany Medical Center in December 1972, complaining of a pruritic eruption of two years' duration that began on his legs and slowly spread to involve his forearms and lower abdomen. The patient had received no treatment for this and was otherwise in good health.Physical examination showed pigmented purpuric lichenoid papules on the legs, lower abdomen, and forearms. As part of a general routine workup, a chest x-ray film was taken and a mediastinal mass was found. A thoracotomy was performed and histopathologic studies were done. The patient was found to have massive mediastinal lymph nodes that