Musculoskeletal Imaging

Mycosis fungoides

an unusual form of malignant T cell lymphoma with primary involvement of the skin. Bone marrow involvement is rare. Cortical destruction, periostitis and soft tissue swelling are typical. A helpful clue to diagnosis is involvement of the peripheral skeleton including the hands. The leukaemic phase of this disease, Szarys disease, is characterized by generalized erythroderma, splenomegaly, lymphadenopathy and leukocytosis.

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