ISSN - 0973-0958

Pediatric Oncall Journal View Article

When Dermatitis becomes Childhood Leukemia: A Case-Based Review
Natalia Dassi1, Fernanda Lagares Xavier Peres1, Meriene Viquetti de Souza2, Roberta Alves da Silva3, Marina de Almeida Furlanetto3, Adriano Nori Taniguchi2, Liane Esteves Daudt2, Mariana Bohns Michalowski2.
1Universidade Federal de Ciencias da Saude de Porto Alegre, Rio Grande do Sul, Brazil,
2Division of Hematology, Hospital de Clinicas de Porto Alegre, Rio Grande do Sul, Brazil,
3Santa Casa de Misericordia de Porto Alegre - Hospital da Criança Santo Antonio, Rio Grande do Sul, Brazil.
Leukemia cutis is characterized by the infiltration of leukemic cells into the skin. As a rare presentation of acute myelogenous leukemia or acute lymphoblastic leukemia with marked clinical heterogeneity, the diagnosis may be difficult or delayed. We report two cases of leukemia cutis that occurred simultaneously at two different hospitals with very different presentations: a 3-year-old boy with a purplish-red lesion in the lower extremity resembling hemangioma; and a 4-year-old boy with an impetigo-like lesion on the scalp. We highlight the importance of including cutaneous leukemia in the differential diagnosis of children with unusual evolution of skin lesions.

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