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We illustrate differences in clinical features on physical exam that can be a diagnostic challenge and suggest ways to recognize and identify these conditions at an early stage through a high level of suspicion. The review includes a summary of the epidemiology of various CLs, specifically highlighting the presentation and incidence in African American\/Black patients, where the data are available. We also include a discussion of adult HTLV\u20101\u2010associated T\u2010cell leukemia\/lymphoma (ATLL) which, although a systemic T\u2010cell lymphoma, may present with skin manifestations and mimic MF, other CTCL subtypes, or other inflammatory dermatoses. Finally, this review highlights the possible use of imaging modalities, such as dermoscopy and reflectance\u2010confocal microscopy, in diagnosing and recognizing cutaneous lymphomas in patients with darker skin types.<\/jats:p>","DOI":"10.1111\/ijd.16374","type":"journal-article","created":{"date-parts":[[2022,8,26]],"date-time":"2022-08-26T12:09:50Z","timestamp":1661515790000},"page":"357-368","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Cutaneous lymphomas in African American\/Black patients: pitfalls and presentations"],"prefix":"10.1111","volume":"62","author":[{"given":"Pauline","family":"Flaum\u2010Dunoyer","sequence":"first","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah J.","family":"Noor","sequence":"additional","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center  New York NY 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