Leukemia Cutis: A Rare Initial Presentation of Chronic Lymphocytic Leukemia

  • Abhenil Mittal
  • Ajay GogiaEmail author
  • Saumyaranjan Mallick
  • Ritu Gupta

Dear Editor,

CLL is the most common adult leukemia in western countries accounting for 25–30% cases with a median age of diagnosis of 70 years [1]. Most patients are asymptomatic at diagnosis and come to clinical attention due to incidentally detected lymphocytosis. Cutaneous lesions can be seen in 25% of CLL cases but usually represent non-specific etiology like infection, autoimmune phenomenon or even more common in relapse/refractory cases [2]. True leukemic involvement is seen in less than 5% cases and may portend a better prognosis. Here, we describe a case of CLL with skin involvement at initial presentation.

A 45-year-old lady, with no prior co-morbidities was referred to our center with complaints of swelling over the left earlobe and the bridge of nose for 6 months. On examination, she had generalized lymphadenopathy with multiple palpable cervical, axillary and inguinal lymph nodes. Her baseline compete blood count showed a total leucocyte count of 125,000 with 90% abnormal...


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Copyright information

© Indian Society of Hematology and Blood Transfusion 2018

Authors and Affiliations

  • Abhenil Mittal
    • 1
  • Ajay Gogia
    • 1
    Email author
  • Saumyaranjan Mallick
    • 2
  • Ritu Gupta
    • 3
  1. 1.Department of Medical Oncology, DRBRAIRCHAIIMSNew DelhiIndia
  2. 2.Department of PathologyAIIMSNew DelhiIndia
  3. 3.Department of Laboratory OncologyAIIMSNew DelhiIndia

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