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Leukemia Cutis. Presented by Dr. John G. Downing, Boston.
A 72 year old white man, T. E., is presented with a generalized dermatosis of seven months' duration. His eruption began as red pruritic papules on the face and head, soon spreading to the neck. Some time during the early stage of the disease, a cervical abscess developed, which was treated with penicillin. Later, the eruption spread more rapidly and became generalized.This patient is a somewhat emaciated man who looks older than his years. There is a diffuse erythema of the skin with slight thickening and a fine scale. The forehead and neck reveal occasional large, indurated, dark red nodules, some as large as 1 cm. in diameter. The ears and the feet are moist with serous exudate and some crusting. The feet, ankles and legs exhibit an advanced degree of pitting edema.A biopsy revealed changes suggestive of leukemia
Appel B, Crawford GM. NEW ENGLAND DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1947;56(4):551–555. doi:https://doi.org/10.1001/archderm.1947.01520100147027
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