CUTANEOUS T-CELL LYMPHOMA PRESENTING WITH ATYPICAL PERIANAL LESIONS

A patient with an atypical presentation of cutaneous T-cell lymphoma i s reported. For many years, there were perianal lesions only, which we re initially diagnosed as a non-specific severe perianal dermatitis, p ossibly due to psoriasis. There was Little response, however, to poten t topical steroids. Further patch and plaque lesions then developed el sewhere and plaque stage mycosis fungoides was diagnosed, allowing eff ective treatment with superficial radiotherapy and PUVA to be given. T he difficulties that may be encountered in the diagnosis of cutaneous T-cell lymphoma are discussed.