Mixed Phenotype Acute Leukemia Presenting as Leukemia Cutis

Leukemia cutis (LC) is defined as infiltration of the skin by leukemic cells resulting in clinically recognizable cutaneous lesions. It is common in congenital leukemia and acute myeloid leukemia. However, LC has rarely been reported with mixed phenotypic acute leukemia (MPAL). We report the case of...

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Main Authors: Geetha Narayanan, M. T. Sugeeth, Lali V. Soman
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2016/1298375
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author Geetha Narayanan
M. T. Sugeeth
Lali V. Soman
author_facet Geetha Narayanan
M. T. Sugeeth
Lali V. Soman
author_sort Geetha Narayanan
collection DOAJ
description Leukemia cutis (LC) is defined as infiltration of the skin by leukemic cells resulting in clinically recognizable cutaneous lesions. It is common in congenital leukemia and acute myeloid leukemia. However, LC has rarely been reported with mixed phenotypic acute leukemia (MPAL). We report the case of a lady who presented with erythematous papular and nodular lesions all over the body. Skin biopsy showed leukemic infiltration and bone marrow aspiration showed MPAL of the T/myeloid with monocytic differentiation lineage. This is the first report of an adult patient with MPAL of the T/myeloid with monocytic differentiation type presenting with leukemia cutis. She was started on chemotherapy with Hyper-CVAD. There is complete resolution of the skin lesions and she has achieved bone marrow remission after the first cycle of chemotherapy.
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spelling doaj-art-bd7d2fa3ea0e4c879629be86e348c4662025-02-03T05:53:37ZengWileyCase Reports in Medicine1687-96271687-96352016-01-01201610.1155/2016/12983751298375Mixed Phenotype Acute Leukemia Presenting as Leukemia CutisGeetha Narayanan0M. T. Sugeeth1Lali V. Soman2Department of Medical Oncology, Regional Cancer Centre, Trivandrum 695011, IndiaDepartment of Medical Oncology, Regional Cancer Centre, Trivandrum 695011, IndiaDepartment of Medical Oncology, Regional Cancer Centre, Trivandrum 695011, IndiaLeukemia cutis (LC) is defined as infiltration of the skin by leukemic cells resulting in clinically recognizable cutaneous lesions. It is common in congenital leukemia and acute myeloid leukemia. However, LC has rarely been reported with mixed phenotypic acute leukemia (MPAL). We report the case of a lady who presented with erythematous papular and nodular lesions all over the body. Skin biopsy showed leukemic infiltration and bone marrow aspiration showed MPAL of the T/myeloid with monocytic differentiation lineage. This is the first report of an adult patient with MPAL of the T/myeloid with monocytic differentiation type presenting with leukemia cutis. She was started on chemotherapy with Hyper-CVAD. There is complete resolution of the skin lesions and she has achieved bone marrow remission after the first cycle of chemotherapy.http://dx.doi.org/10.1155/2016/1298375
spellingShingle Geetha Narayanan
M. T. Sugeeth
Lali V. Soman
Mixed Phenotype Acute Leukemia Presenting as Leukemia Cutis
Case Reports in Medicine
title Mixed Phenotype Acute Leukemia Presenting as Leukemia Cutis
title_full Mixed Phenotype Acute Leukemia Presenting as Leukemia Cutis
title_fullStr Mixed Phenotype Acute Leukemia Presenting as Leukemia Cutis
title_full_unstemmed Mixed Phenotype Acute Leukemia Presenting as Leukemia Cutis
title_short Mixed Phenotype Acute Leukemia Presenting as Leukemia Cutis
title_sort mixed phenotype acute leukemia presenting as leukemia cutis
url http://dx.doi.org/10.1155/2016/1298375
work_keys_str_mv AT geethanarayanan mixedphenotypeacuteleukemiapresentingasleukemiacutis
AT mtsugeeth mixedphenotypeacuteleukemiapresentingasleukemiacutis
AT lalivsoman mixedphenotypeacuteleukemiapresentingasleukemiacutis