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European Journal of General Medicine
Medical Investigations Society
ISSN: 1304-3897
Vol. 1, No. 2, 2004, pp. 46-47
Bioline Code: gm04020
Full paper language: English
Document type: Research Article
Document available free of charge

European Journal of General Medicine, Vol. 1, No. 2, 2004, pp. 46-47

 en CASE REPORT - ACUTE LYMPHOBLASTIC LEUKEMIA PRESENTING WITH CUTANEOUS INVOLVEMENT
Ali Bay, Ahmet Faik Öner, Oğuz Tuncer, Bülent Atas, Sevil Yuca, Mehmet Erol

Abstract

Primary cutaneous involvement in B-cell lymphoblastic leukemia is rare in childhood. We present a case of 2-year-old girl admitted to our hospital because of left scapular skin lesion and left axillary mass. She was looked pale and weak. Left axillary lymph node pachage of 5 cm diameter and left scapular skin lesion was revealed by physical examination. Complete blood count revealed 124.000/mm3 white blood cell count. Peripheral blood smear showed 99% lymphoblasts. Bone marrow aspiration revealed 95% blastic cells with immunophenotype and morphological characteristics of pre-B type acute lymphoblastic leukemia with L1 subtype. ALL St Jude Total XIII remission induction treatment protocol was started. Skin lesion disappeared after 15th day of the cytotoxic therapy. On the follow up, she was on remission and continued to maintenance chemotheraphy for 6 months. We would like to highlight that a small growing cutaneous lesion could be the presenting form of acute lymphoblastic leukemia.

Keywords
Lymphoblastic leukemia, cutaneous involvement

 
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Alternative site location: http://www.ejgm.org

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