Case Presentation
A 50 year old male presented with multiple itchy, ill-defined, scaly,
erythematous-violaceous patches and plaques over generalized body
surface for 7 years (Figure 1 a, b, c). Initially, skin lesions appeared
bilaterally over the thighs and buttocks, for which he visited a medical
centre and was prescribed anti-leprosy medication for 1 year. He was
also treated with topical steroids on and off for chronic dermatitis
with minimal improvement. He had an abdominal mass excised 2 years back
and histology reports were suggestive of diffuse large B cell lymphoma,
so he received R-CHOP regimen for 6 courses. Notably, the cutaneous
lesions significantly improved while on chemotherapy. However, the skin
lesions flared up after 6 months of stopping the chemotherapy.