Extremely Pruritic Skin on 52-Year-Old Patient

April 28, 2014
Andra Krauze, BSc, MD, FRCPC
Andra Krauze, BSc, MD, FRCPC

A 52-year-old male presents with a 3-month history of extremely pruritic skin on the wrist and hand. On exam the patient exhibits generalized erythroderma and lymphadenopathy. What is the diagnosis?

A 52-year-old male presents with a 3-month history of extremely pruritic skin on the wrist and hand. On exam the patient exhibits generalized erythroderma and lymphadenopathy. Peripheral blood smear is performed.

The diagnosis is: