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November 1986

Hemorrhagic Bullae in an Anemic Woman

Author Affiliations

University of Arizona Health Sciences Center, Tucson

Arch Dermatol. 1986;122(11):1329-1330. doi:10.1001/archderm.1986.01660230121026

REPORT OF A CASE  A 33-year-old woman who had frequent headaches was referred to the Arizona Health Sciences Center, Tucson, for evaluation of recurrent staphylococcal pyoderma that had responded poorly to oral antibiotics over the past six years. Physical examination was unremarkable; however, results of laboratory tests disclosed the following values: white blood cell count, 2000/mm3 (2.0 × 109/L) (differential cell count: 12% [0.12] polymorphonuclear cells, 6% [0.06] band cells, 68% [0.68] lymphocytes, and 14% [0.14] mononuclear cells); hemoglobin, 10.3 g/dL (103 g/L); hematocrit, 31.5% (0.31); and platelets, 99 000/mm3 (99 × 109/L). Immunoglobulin analysis was notable for an IgA deficiency. Results of bone marrow aspiration were consistent with aplastic anemia.Two months later, the patient was admitted with acute pain in the abdomen secondary to bowel infarction, which necessitated a colonic resection. Histologic evaluation of the resected colon demonstrated a transmural infarct with

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