Case for Diagnosis: Leukemic Infiltrates? Presented by Dr. Alexander W. Young Jr.
Patient: A 29-year-old white television repairman.
Duration: Three months.
Location: Trunk (posterior), thighs, lower abdomen.
History: Patient states that for about three months he has had some erythematous, slightly elevated, nonpruritic small lesions on the back and lateral aspect of the thighs with some recent spread to the lower abdomen.
Past history reveals the first St. Luke's Hospital admission to have been on May 30, 1955. Complaint was enlarging abdomen and palpable spleen of five months' duration, accompanied by flashes of sweating occurring at any time of the day or night.
Laboratory studies showed WBC 320,000 with abnormal immature forms, promyelocytes and myelocytes predominating. Bone marrow studies revealed 39.6% metamyelocytes.
A diagnosis of myelocytic leukemia was made, and a course of radiotherapy was started to the splenic area and continued on an outpatient
Nelson CT, Sachs WJ. THE NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILOLOGY. AMA Arch Derm. 1957;76(6):805–812. doi:10.1001/archderm.1957.01550240123033
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