PMID- 8543697 OWN - NLM STAT- MEDLINE DCOM- 19960209 LR - 20190709 IS - 0190-9622 (Print) IS - 0190-9622 (Linking) VI - 34 IP - 1 DP - 1996 Jan TI - Clinical and histologic spectrum of human T-cell lymphotropic virus type I-associated lymphoma involving the skin. PG - 69-76 AB - BACKGROUND: Adult T-cell leukemia/lymphoma (ATL) is associated with infection with human T-cell lymphotropic virus type I (HTLV-I). OBJECTIVE: The objective was to describe the clinical, histopathologic, and immunologic features in three patients with ATL involving the skin. METHODS: Clinical histories and skin biopsy specimens were reviewed. Immunophenotypic studies were performed on peripheral blood lymphocytes (three patients) and on skin biopsy specimens (one patient). RESULTS: Serologic testing in each patient was positive for HTLV-I. Specific cutaneous lesions of ATL were diverse. Histologic features included markedly epidermotropic lymphoid infiltrates and dermal aggregates of lymphocytes and macrophages resembling granulomas. One patient died 3 months after diagnosis; the other two are alive with residual lymphoma. CONCLUSION: A spectrum of clinical, histologic, and immunophenotypic features are seen in ATL involving skin. Those cases with a chronic course may resemble mycosis fungoides clinically and histologically. Serologic testing for HTLV-I is recommended in all patients with cutaneous lymphoma from endemic areas and in those with other risk factors for HTLV-I infection. FAU - DiCaudo, D J AU - DiCaudo DJ AD - Department of Dermatology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Perniciaro, C AU - Perniciaro C FAU - Worrell, J T AU - Worrell JT FAU - White, J W Jr AU - White JW Jr FAU - Cockerell, C J AU - Cockerell CJ LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Am Acad Dermatol JT - Journal of the American Academy of Dermatology JID - 7907132 RN - 0 (HTLV-I Antibodies) SB - IM CIN - J Am Acad Dermatol. 1997 Jan;36(1):133-4. PMID: 8996285 CIN - J Am Acad Dermatol. 1997 Jan;36(1):134-5. PMID: 8996286 MH - Adult MH - Female MH - HTLV-I Antibodies/analysis MH - Humans MH - Immunophenotyping MH - Leukemia-Lymphoma, Adult T-Cell/immunology/*pathology MH - Middle Aged MH - Skin Neoplasms/immunology/*pathology EDAT- 1996/01/01 00:00 MHDA- 2001/03/28 10:01 CRDT- 1996/01/01 00:00 PHST- 1996/01/01 00:00 [pubmed] PHST- 2001/03/28 10:01 [medline] PHST- 1996/01/01 00:00 [entrez] AID - S0190-9622(96)90836-1 [pii] AID - 10.1016/s0190-9622(96)90836-1 [doi] PST - ppublish SO - J Am Acad Dermatol. 1996 Jan;34(1):69-76. doi: 10.1016/s0190-9622(96)90836-1.