M/28yrs/Asian, A known case of CTCL( cutaneous T-cell lymphoma)  
Outside skin bx report on 8/12/06: focal monotonous infiltrate in the dermis, extending to the epidermis, positive for LCA, CD45 RO and negative for CD20, Dx: possibility of CTCL cannot be excluded.  
Already on rePUVA ( Neotigasone + PUVA) x 5 months( 3sessions of PUVA/wk)  
O/E: multiple skin lesions over back + abdomen, papules to nodules, size about 0.2 to 1.5 cm in diameter, clinical dx: CTCL