Urticarial lesions in a child with acute lymphoblastic leukemia and eosinophilia.

Abstract:

:The hypereosinophilic syndrome (HES) is defined by a longer than 6-month history of peripheral blood hypereosinophilia (greater than 1.5 x 10(9)/L), with signs and symptoms of internal organ involvement, in the absence of an identifiable cause. HES is therefore a diagnosis of exclusion. Patients have been reported who initially met the criteria for HES but subsequently developed a rare hematologic malignancy known as acute lymphoblastic leukemia with eosinophilia (ALL-Eo). We report such a case in a 10-year-old boy who presented to the pediatric dermatology clinic with unusual, urticarial skin lesions. Although skin involvement is often reported in cases of HES and ALL-Eo, such findings are variable and reports in the dermatology literature are few. We emphasize the importance of continuous monitoring for underlying malignancy in children with urticarial skin lesions in the setting of unexplained hypereosinophilia.

journal_name

Pediatr Dermatol

journal_title

Pediatric dermatology

authors

Hill A,Metry D

doi

10.1111/j.1525-1470.2003.20610.x

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

502-5

issue

6

eissn

0736-8046

issn

1525-1470

pii

20610

journal_volume

20

pub_type

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