A case of adult T-cell leukemia/lymphoma in the Midwest

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A case of adult T-cell leukemia/lymphoma in the Midwest Peggy A. Wu, MD, Bonnie A. Lee, MD, Milan J. Anadkat, MD  Journal of the American Academy of Dermatology  Volume 65, Issue 2, Pages 432-434 (August 2011) DOI: 10.1016/j.jaad.2010.01.015 Copyright © 2010 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 A and B, Infiltrated red-brown papules and plaques on the dorsal surfaces of the hands and knees at the time of presentation. Journal of the American Academy of Dermatology 2011 65, 432-434DOI: (10.1016/j.jaad.2010.01.015) Copyright © 2010 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 A and B, Band-like lymphocytic infiltrate extending into the dermis with circumscribed lymphocyte aggregates in the epidermis (Pautrier microabscesses). C, Diffusely positive staining with CD25. D, Peripheral blood with a “flower cell”—a lymphocyte with convoluted nuclei and prominent basophilic cytoplasm—characteristic in adult T-cell leukemia/lymphoma. (B and C, Hematoxylin–eosin stain; original magnifications: A, ×40; B, ×400; C, ×200; D, ×400.) Journal of the American Academy of Dermatology 2011 65, 432-434DOI: (10.1016/j.jaad.2010.01.015) Copyright © 2010 American Academy of Dermatology, Inc. Terms and Conditions