A Case for Diagnosis: (Mycosis Fungoides?) Presented by Dr. R. J. Rowe.
A woman, aged 45 years, was first seen in June, 1958, because of an eruption on the right side of her chin and face, present for about 10 months. She had had a recurrent eruption on her arm for the past three years. There were patches of an erythematous, indurated, and scaling dermatosis, most marked on the right side of her face, with prominent edges and some tendency to clear in the center. Tinea of the face and lupus erythematosus were considered. Numerous scrapings for fungi from her face, done both here and elsewhere, have not revealed mycelia.The condition was not noticeably influenced by local treatment, x-ray therapy, and chloroquine (Aralen).In the latter part of March of 1959 a large, papillary adenocarcinoma about 12 cm. proximal to the anus was removed surgically.Chest x-ray and laboratory