This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Skin tumors, Subject name: Dental
[{'content': "Patient with pruritic lesion over Left shoulder showing cigarette paper atrophy and poikiloderma with generalized lymphadenopathy. Histopathology exmanination of lesion shows CD4 positive sezary leutzner cells. What is the dermo-epidermal manifestation of this disease? \nSelect and explain. \nA. Pautrier's micro abscess, B. Pin point ulcers, C. Discharging sinus, D. Miliaria", 'role': 'user'}, {'content': 'Answer: A \nExplanation: In mycosis fungoides is the commonest type of cutaneous T cell lymphoma. In the patch stage cigarette paper atrophy and poikiloderma are seen . There is lymphedenopathy and sezary cells ( abnormal lymphocytes with large convoluted nuclei ) circulating in blood. Histopathology shows collection of atypical lymphocytes( Pautriers micro abscesses ) in epidermis and band of lymphoid cells ( some atypical with convoluted nuclei) in the upper dermis. From illustrated synopsis of dermatology and sexually transmitted diseases neena khanna 5th edition page no 405, 406', 'role': 'assistant'}]