case_images: PMC4318027_01
case_images: Purpuric tinea corporis in patient 2 with acute adult T-cell leukemia/ lymphoma
case_images: IJD-60-103c-g001.jpg
case_images: PMC4318027_01_IJD-60-103c-g001.jpg
case_images: F1
case_images: A 32-year-old male with history of hypopigmented macules over chest and trunk of 1 year duration, presented with pruritic purpuric macules and plaques over face, trunk, and extremities and purpuric annular plaque over medial aspect of thighs of 20 days duration [Figure 1].
case_images: Wet purpura in patient 2 with acute ATL
case_images: IJD-60-103c-g002.jpg
case_images: PMC4318027_01_IJD-60-103c-g002.jpg
case_images: F2
case_images: Wet purpura was present over hard palate and buccal mucosa [Figure 2].
case_images: Peripheral smear of patient 2 showing atypical lymphoid cells with indented nuclei (hematoxylin and eosin stain (H and E), magnification 100x)
case_images: IJD-60-103c-g003.jpg
case_images: PMC4318027_01_IJD-60-103c-g003.jpg
case_images: F3
case_images: His total leukocyte count was elevated and peripheral smear revealed large number of atypical lymphocytes with cleaved nucleus [Figure 3] which were CD3+, CD5+, CD 25+, and CD7- by flow cytometry.
case_images: Skin biopsy showing dense lymphoid infiltrate in the dermis with epidermotropism in patient 2 (H and E, magnification x 10)
case_images: IJD-60-103c-g004.jpg
case_images: PMC4318027_01_IJD-60-103c-g004.jpg
case_images: F4
case_images: Dense infiltrate of medium sized atypical lymphocytes occupied the dermis with epidermotropism [Figure 4] in skin biopsy and similar infiltrate in lymph node biopsy which showed CD3+, CD4+, CD8-, and CD20- on immunohistochemistry.
case_images: Verrucous papules in patient 3 with acute ATL
case_images: IJD-60-103c-g005.jpg
case_images: PMC4318027_01_IJD-60-103c-g005.jpg
case_images: F5
case_images: On examination, there were multiple verrucous and crusted papules [Figure 5] and plaques over forearm, dorsum of right hand and legs, cervical and axillary lymph node enlargement, and hepatosplenomegaly.
case_images: Hypopigmented macules in patient 5 with smoldering ATL
case_images: IJD-60-103c-g006.jpg
case_images: PMC4318027_01_IJD-60-103c-g006.jpg
case_images: F6
case_images: A 30-year-old male with history of recurrent eczematous lesions in childhood presented with pruritic hypopigmented scaly macules [Figure 6] over back of 4 months duration.