HTLV-I-associated granulomatous T-cell lymphoma in a child

Adult T-cell leukemia/lymphoma (ATLL) is a T-cell malignancy closely associ ated with human T-cell lymphotropic virus-1 (HTLV-I). Because of its long l atency period, ATLL occurs almost exclusively in adults. We report a case o f a 13-year-old boy with an 8-year history of skin eruptions. After complet e evaluation, a diagnosis of HTLV-I-associated lymphoma/leukemia was made. The T-cell lymphoma exhibited a granulomatous histomorphology. There have b een very few reports of ATLL presenting in childhood and none, to our knowl edge, demonstrating granulomatous histology. We conclude that ATLL may rare ly present as a chronic granulomatous eruption in a child.