Mycosis fungoides, also known as cutaneous T-Cell lymphoma, is a rare hematologic malignancy characterized by cutaneous involvement. There is significant variability in dermatologic presentation in early stages and often atypical pathology findings on biopsy that often make early diagnosis quite challenging. Here we present a case of an elderly patient who presented with chronic pruritis and cutaneous T-Cell Lymphoma involving the entire body, currently managed with a combination of phototherapy and anti-pruritic topical medications.