Bullous leukemia cutis mimicking facial cellulitis

Abstract Bullous leukemia cutis is an uncommon clinical manifestation of cutaneous infiltration by leukemic cells, from B-cell chronic lymphocytic leukemia. We present the case of a 67-year-old, female, chronic lymphocytic leukemia patient. She was taking chlorambucil and developed facial edema with...

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Main Authors: Luciana de Sales Caldato, Juliana de Sousa Britto, Ligia Niero-Melo, Hélio Amante Miot
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2016-04-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016000200248&tlng=en
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author Luciana de Sales Caldato
Juliana de Sousa Britto
Ligia Niero-Melo
Hélio Amante Miot
author_facet Luciana de Sales Caldato
Juliana de Sousa Britto
Ligia Niero-Melo
Hélio Amante Miot
author_sort Luciana de Sales Caldato
collection DOAJ
description Abstract Bullous leukemia cutis is an uncommon clinical manifestation of cutaneous infiltration by leukemic cells, from B-cell chronic lymphocytic leukemia. We present the case of a 67-year-old, female, chronic lymphocytic leukemia patient. She was taking chlorambucil and developed facial edema with erythema and warmth, misjudged as facial cellulitis. Two days later, she developed bullous lesions in the arms, legs, neck and face. The histopathology of facial and bullous lesions confirmed leukemia cutis. All lesions disappeared following the administration of rituximab combined with cycles of fludarabine and cyclophosphamide. Although soft tissue infections are common complications in patients undergoing chemotherapy, leukemia cutis can also resemble cellulitis.
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spelling doaj.art-aa5a64ea37514cf38cfd61ca23d4046d2022-12-21T17:21:31ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962016-04-0191224824910.1590/abd1806-4841.20164557Bullous leukemia cutis mimicking facial cellulitisLuciana de Sales CaldatoJuliana de Sousa BrittoLigia Niero-MeloHélio Amante MiotAbstract Bullous leukemia cutis is an uncommon clinical manifestation of cutaneous infiltration by leukemic cells, from B-cell chronic lymphocytic leukemia. We present the case of a 67-year-old, female, chronic lymphocytic leukemia patient. She was taking chlorambucil and developed facial edema with erythema and warmth, misjudged as facial cellulitis. Two days later, she developed bullous lesions in the arms, legs, neck and face. The histopathology of facial and bullous lesions confirmed leukemia cutis. All lesions disappeared following the administration of rituximab combined with cycles of fludarabine and cyclophosphamide. Although soft tissue infections are common complications in patients undergoing chemotherapy, leukemia cutis can also resemble cellulitis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016000200248&tlng=enDermatologyLeukemiaSkin diseases, vesiculobullous
spellingShingle Luciana de Sales Caldato
Juliana de Sousa Britto
Ligia Niero-Melo
Hélio Amante Miot
Bullous leukemia cutis mimicking facial cellulitis
Anais Brasileiros de Dermatologia
Dermatology
Leukemia
Skin diseases, vesiculobullous
title Bullous leukemia cutis mimicking facial cellulitis
title_full Bullous leukemia cutis mimicking facial cellulitis
title_fullStr Bullous leukemia cutis mimicking facial cellulitis
title_full_unstemmed Bullous leukemia cutis mimicking facial cellulitis
title_short Bullous leukemia cutis mimicking facial cellulitis
title_sort bullous leukemia cutis mimicking facial cellulitis
topic Dermatology
Leukemia
Skin diseases, vesiculobullous
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016000200248&tlng=en
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AT ligianieromelo bullousleukemiacutismimickingfacialcellulitis
AT helioamantemiot bullousleukemiacutismimickingfacialcellulitis