Acute T-cell lymphoblastic leukaemia presenting with cutaneous involvement in a child: a rare case report

Lohit Kumar Kalita, Chayanika Kalita, Pabitra Kumar Gogoi, Umesh Chandra Sharma

Abstract


Primary cutaneous involvement in T-cell lymphoblastic leukemia is rare in childhood. We present a case of 6-year-old girl admitted to our hospital because of multiple skin lesions. She was looked pale and weak. Generalized lymphadenopathy was present. Complete blood count revealed 216,000/mm3 white blood cell count. Peripheral blood smear showed 80% lymphoblasts. Bone marrow aspiration revealed 96% blastic cells with immunophenotype and morphological characteristics of acute lymphoblastic leukemia (T-ALL) which was confirmed by flowcytometry.   ALL BFM -95 remission induction treatment protocol was started. Skin lesion remained same after two month of the cytotoxic therapy. The symptoms became more aggressive and she died after 4 months of treatment.


Keywords


Acute lymphoblastic leukemia, Chest, Cutaneous, T-cell, Skin nodules

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References


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