To the Editor.—
Cutaneous T-cell lymphoma (CTCL, mycosis fungoides) is a malignant neoplasm of helper T cells that may be protean in its clinical expression. Verrucous lesions are among the rarest of its morphological appearances and, as such, may be easily clinically confused with many nonmalignant conditions, including common warts and deep fungal infections, unless carefully examined histologically. This case report describes a patient who developed a widespread verrucous form of CTCL with extensive systemic involvement, which was demonstrated by the findings of bladder biopsy, thoracentesis, blood studies, and computed tomography, and who subsequently died of systemic lymphoma.
Report of a Case.—
In October 1986, a 29-year-old man was admitted to the Veterans Administration Medical Center, Birmingham, Ala, for gross hematuria. At that time, he was seen in dermatologic consultation for multiple verrucous lesions of his trunk and extremities. His medical history was remarkable for the diagnosis, by skin biopsy,