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December 2007

Generalized Papules in a Patient With Acute Myeloid Leukemia—Quiz Case

Author Affiliations
 

MICHAEL E.MINGMD, MSCECARRIE ANN R.CUSACKMDSENAIT W.DYSONMDJACQUELINE M.JUNKINS-HOPKINSMDVINCENTLIUMDKARLA S.ROSENMANMD

Arch Dermatol. 2007;143(12):1583-1588. doi:10.1001/archderm.143.12.1583-b

A 58-year-old Japanese man, who had been followed up and received blood transfusions regularly for myelodysplastic syndrome (refractory anemia with an excess of blast cells) for 1 year, developed acute myeloid leukemia. He had pancytopenia, with a white blood cell (WBC) count of 800 cells/μL (to convert to × 109/L, multiply by 0.001), neutropenia (7.0 % of WBCs), and increased circulating blast cell count (58% of WBCs). He had received fluconazole as antifungal prophylaxis.

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