Anaplastic Large Cell Lymphoma is a subtype of CD30-expressing peripheral T-cell lymphomas. There are four subtypes: systemic ALK positive, systemic ALK negative, breast implant related and primary cutaneous. Systemic anaplastic large cell lymphoma and primary cutaneous anaplastic large cell lymphoma are morphologically identical but differ in terms of clinical, prognosis and treatment. Here in, we present a case with an aggressive course presenting with systemic symptoms and multifocal skin involvement.