“…While the biology of these malignancies is not fully understood, some microbes, particularly viruses, have been hypothesized to play roles in malignant T cell transformation in CTCL (Berger et al, 2002, Mirvish et al, 2013, van der Loo et al, 1979. However, high throughput sequencing approaches have failed to consistently detect viral sequences in the skin or peripheral blood of CTCL patients (Anderson et al, 2018, Dereure et al, 2013. Infections are common in advanced stage patients, and antibiotic treatment results in skin improvement and decreased disease activity (Lindahl et al, 2019).…”