Bullous pyoderma gangrenosum as the presenting sign of fatal acute myelogenous leukemia.

Abstract:

:Bullous pyoderma gangrenosum begins as a bulla, nodule or nonulcerated erythematous plaque that blisters or ulcerates to form a superficial ulcer surrounded by a hemorrhagic, bullous border, which is surrounded by a blue-gray halo. Bullous pyoderma gangrenosum is most commonly associated with hematologic malignancies, specifically, acute myelogenous leukemia (AML). We report a patient whose initial presentation with bullous pyoderma gangrenosum prompted the appropriate diagnostic evaluation and confirmation of AML, which was ultimately fatal. We emphasize that a thorough hematologic investigation, including bone marrow biopsy, should be performed in all patients who present with lesions clinically suggestive of bullous pyoderma gangrenosum because the skin lesion may be the only indicator of the underlying hematologic disorder.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Fox LP,Geyer AS,Husain S,Grossman ME

doi

10.1080/10428190500254299

keywords:

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

147-50

issue

1

eissn

1042-8194

issn

1029-2403

pii

X433VL1277544444

journal_volume

47

pub_type

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