Leukaemia cutis from CD56 positive, Myeloperoxidase negative acute myeloid leukaemia

Autor: Asmaa Gaber Abdou, Iman Seleit, Ola Ahmed Bakry, Moshira Mohammed Abd elwahed
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Acta Dermatovenerologica Croatica
Volume 21
Issue 3
ISSN: 1847-6538
1330-027X
Popis: Acute myeloid leukaemia (AML) is a clonal expansion of myeloid blasts in peripheral blood, bone marrow or other tissues. Cutaneous manifestations of leukemia are either specific or non-pecific. Specific lesions result from direct infiltration of skin by leukemic cells. We present a case of myeloid leukemia cutis manifested by erythematous asymptomatic nodules and plaques distributed on the chest, abdomen and back. The clinical impression and the histopathological features of the cutaneous infiltrate were suggestive of haematolymphoid malignancy, more towards lymphoma. However, the immunohistochemical features were against the diagnosis of lymphoma and were highly suspicious for myeloid leukaemia, which were concomitantly confirmed by bone marrow biopsy and blood picture. Any poorly differentiated malignant skin infiltrate of confirmed haematopoeitic lineage, myeloid differentiation should be considered and excluded by appropriate panel. CD56+ AML is a rare type of AML that has special features like the great liability for extramedullary involvement including skin, monocytic characteristic of leukaemia cells and absence of myeloperoxidase expression.
Databáze: OpenAIRE