Diagnosis: Sezary syndrome
Description: T cell lymphocytic infiltrate with epidermotropism
Clinical Features: Nodule,purple
Pathology/Site Features: Epidermotropism
Sex: M
Age: 76
Submitted By: Ian McColl
Differential Diagnosis
History: 5681fj has Sezary syndrome and pityriasis versicolor in his axillae but recently developed a nodule in the right axilla. Punch biopsy from centre of lesion. DD Lymphoma, Fungal granuloma
Description: Nodule in Axilla
Comments: T cell lymphocytic infiltrate (CD3+ve, CD20-ve) CD4 +ve, CD7/8 -ve compatible with Sezary