Abstract

Granulomatous slack skin (GSS) is a rare lymphoproliferative disorder that is an unusual variant of cutaneous T-cell lymphoma (CTCL).l It is characterized by the progressive laxity of affected skin, with predilection for flexural areas.‘, 3 The disease has a marked male predominance, with age at onset typically ranging from adolescence to middle age! Although histologically similar to granulomatous mycosis fungoides (MF), GSS can be distinguished from MF by both clinical and histologic criteria? Approximately one third of the reported patients with GSS have subsequently had Hodgkin’s disease.4 We describe a patient with GSS in whom Hodgkin’s disease developed approximately 11 years after the initial appearance of his skin lesions.

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