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Oral manifestations of cutaneous T cell lymphoma (CTCL) have received little attention in the dermatologic literature. The authors report two patients with lingual lesions. The histologic features are similar to those of the glabrous skin. A review of the 22 previously reported cases indicate a shortened survival. A retrospective review of 82 patients with CTCL treated at the authors' medical center identified only three with oral involvement. Radiation therapy offers effective palliation for these lesions.

A 68-year-old man presented with an 8-month history of a pruritic zosteriform eruption of the left trunk and thigh areas, corresponding roughly to the T-11 and L-4 dermatomes. He was otherwise healthy with the exception of hypertension. Medications included hydrochlorothiazide, metoprolol, and captopril, none of which was temporally related to the onset of the eruption. No prior trauma or dermatologic history was obtained.Physical examination revealed a collection of scaling polygonal papules limited to a serpiginous or zosteriform pattern (Figs 1 and 2). Mucous membranes were normal and the nails revealed longitudinal ridging and pitting. A punch biopsy was performed;representative sections are shown in Figs 3 and 4.

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