We present the case of a young lady who presented to the department of emergency medicine (DEM) for
evaluation of painful breast swelling and skin indurations involving 90% of the body surface. She stayed long in the DEM
for 3 days and managed for breast abscess she was consulted to dermatology for evaluation of skin lesions and preliminary
diagnosed as rare skin T cell lymphoma. Final diagnosis based on clinical and histopathological was Mycosis Fungoids
(MF).This case reveals that prompt referral from the DEM to the concerned speciality even for the rare type of diseases
like MF can facilitate diagnosis and management and overall positive impact on disease outlook. Our patient was finally
admitted under oncology unit and managed appropriately.