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July 1986

Aleukemic Leukemia Cutis

Author Affiliations

From the Department of Medicine (Drs Hansen and Ash), Surgery (Dr Schneider), Pathology (Dr Hanson), and Dermatology (Dr Barnett), Medical College of Wisconsin Affiliated Hospitals, Milwaukee, and Good Samaritan Medical Center (Drs Klehm and Barnett), Milwaukee.

Arch Dermatol. 1986;122(7):812-814. doi:10.1001/archderm.1986.01660190090023

† A 46-year-old man presented with nodular skin lesions, a biopsy specimen of which demonstrated a poorly differentiated malignancy. Touch preparations with histochemical staining and electron microscopy confirmed leukemia cutis. Results from a bone marrow aspirate disclosed focal areas of increased myeloblasts, and cytogenetic analysis revealed an abnormal karyotype as follows 46,XY, t(1;2) (q44p13). Antileukemic therapy resulted in prompt disappearance of the skin nodules, and a return of the patient's bone marrow to normal was noted, but after six months of intensive chemotherapy leukemia cutis recurred without morphologically identifiable leukemia in the bone marrow. The patient underwent successful bone marrow transplantation from an HLA-identical sibling but died 70 days after the transplant from disseminated aspergillosis.

(Arch Dermatol 1986;122:812-814)

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