We report a new observation of granulomatous mycosis fungoides, The di
agnosis was able to be made only after performing multiple biopsies du
ring the course of the disease. Initial evolution was rapidly favourab
le with electrontherapy.A granulomatous reaction is, except in Hodgkin
's disease, a rare phenomenon in lymphoproliferative disorders, partic
ularly in cutaneous T cell lymphoma, This variant of mycosis fungoides
raises the problem of the histological differentiation from other gra
nulomatous dermatoses, mainly sarcoidosis. Its prognostic significance
is disputed and its pathogenesis remains unknown.