Török L, Kirschner A, Gurzó M, Krenács L
Department of Dermatology, County Hospital of Bács-Kiskun County, Kecskemet, Hungary.
Eur J Dermatol. 2000 Aug;10(6):463-5.
The authors present the case of a 67-year-old patient in whom bullous pyoderma gangrenosum was the first symptom of acute myeloid leukemia. Histologically leukemic cells were found in the skin infiltrate, on the basis of which this lesion satisfied the criteria of leukemia cutis. It was underlined that in the background of such atypical bullous cases there are often hemoblastoses or their malignant transformation. Finally the connection between bullous pyoderma gangrenosum and atypical vesiculous Sweet syndrome is discussed.
作者介绍了一例67岁患者,大疱性坏疽性脓皮病是急性髓系白血病的首发症状。组织学检查发现皮肤浸润中有白血病细胞,据此该病变符合皮肤白血病的标准。强调在这类非典型大疱性病例的背景下,常存在成血病或其恶性转化。最后讨论了大疱性坏疽性脓皮病与非典型水疱性Sweet综合征之间的联系。