European Journal of Dermatology


Bullous pyoderma gangrenosum as a manifestation of leukemia cutis Volume 10, issue 6, September 2000


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Department of Dermatology, County Hospital of Bács-Kiskun County and 1st Department of Internal Medicine, Nagykörösiu, 15, 6000 Kecskemet, Hungary.

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.