Nodal peripheral T-cell lymphoma with secondary granulomatous cutaneous involvement.

Sir, The presence of a granulomatous pattern has rarely been described in cutaneous lymphomas, mycosis fungoides (MF) being the variant more frequently reported (1 – 4). The aetiology of granulomatous reactions remains unclear and its prognostic value is still disputed, although a favourable influence on outcome has been hypothesized (5). We report here the case of an 87-year-old man with nodal peripheral T-cell lymphoma (PTL) with secondary cutaneous involvement, who clinically presented with multiple eruptive papular and nodular skin lesions on the upper part of the body and histologically showed a strong granulomatous reaction in the skin.