Adult T-cell Lymphoma Complicated with Epidermodysplasia Verruciformis-like Eruptions.

Adult T-cell lymphoma (ATL) was first reported by Uchiyama et al. (1) as a distinct malignancy of mature T cells occurring primarily in patients born in southwestern Japan (2). Patients with epidermodysplasia verruciformis (EV) present in childhood with numerous thin, pink, flat papules and plaques that resemble verruca plana (3). EV is mainly caused by the human papilloma virus (HPV) types 5 and 8, but also by HPV types 9, 12, 14, 15, 17, 19, 25, 36, 38, 47, and 50 (3). Recently, EV-like eruptions have been observed in immunosuppressed patients, especially those with human immunodeficiency virus (HIV) (3), Merkel cell carcinoma (MCC) (4-6), and renal transplantation (7,8). Herein, we report a rare case of skin eruptions of ATL complicated with EV-like eruptions.