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皮肤白血病:17例报告及文献综述

Leukemia Cutis: A Report of 17 Cases and a Review of the Literature.

作者信息

Martínez-Leboráns L, Victoria-Martínez A M, Torregrosa-Calatayud J L, Alegre de Miquel V

机构信息

Servicio de Dermatología, Hospital General Universitario de Valencia, Valencia, España.

Servicio de Dermatología, Hospital General Universitario de Valencia, Valencia, España.

出版信息

Actas Dermosifiliogr. 2016 Nov;107(9):e65-e69. doi: 10.1016/j.ad.2016.02.015. Epub 2016 May 20.

Abstract

Dermatologic manifestations of leukemia can be both specific and nonspecific (e.g., opportunistic infections, purpura and ecchymosis, Sweet syndrome). Leukemia cutis refers to the infiltration of the skin with neoplastic leukocytes and its early diagnosis has important prognostic implications. We report on 17 cases of leukemia cutis seen in our department between 1994 and 2014 and describe the characteristics of the patients (age, sex, medical history), the morphology of the lesions, and associations with systemic disease. Most of the patients were male and the most common associated malignancy was acute myeloid leukemia. The most frequent dermatologic manifestations were nodules or erythematous papules on the limbs. We describe our experience with the diagnosis and management of leukemia cutis over a period of 20 years and emphasize the importance of clinical signs in the early diagnosis of this condition.

摘要

白血病的皮肤表现可以是特异性的,也可以是非特异性的(如机会性感染、紫癜和瘀斑、Sweet综合征)。白血病性皮肤浸润是指肿瘤性白细胞浸润皮肤,其早期诊断具有重要的预后意义。我们报告了1994年至2014年间在我科诊治的17例白血病性皮肤浸润病例,并描述了患者的特征(年龄、性别、病史)、皮损形态以及与全身疾病的关联。大多数患者为男性,最常见的相关恶性肿瘤是急性髓系白血病。最常见的皮肤表现是四肢出现结节或红斑丘疹。我们描述了20年来白血病性皮肤浸润的诊断和治疗经验,并强调了临床体征在该病早期诊断中的重要性。

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