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The Clinical Picture

Aleukemic leukemia cutis

Tuyet Nguyen Abraham, MD, MSC, Peter Morawiecki, MD, Amy Flischel, MD and Bharata Agrawal, MD
Cleveland Clinic Journal of Medicine February 2019, 86 (2) 85-86; DOI: https://doi.org/10.3949/ccjm.86a.18057
Tuyet Nguyen Abraham
Department of Primary Care, Captain James A. Lovell Federal Healthcare Center, North Chicago, IL
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Peter Morawiecki
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Amy Flischel
Department of Dermatology, Captain James A. Lovell Federal Healthcare Center, North Chicago, IL
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Bharata Agrawal
Department of Hematology and Oncology, Captain James A. Lovell Federal Healthcare Center, North Chicago, IL
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    Figure 1

    The firm, indurated nodules ranged in size from 1 to 4 cm.

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    Figure 2

    Punch biopsy showed diffuse atypical cellular infiltrate in the dermis, with a grenz zone (red arrow) of uninvolved papillary dermis (hematoxylin and eosin, × 10).

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    Figure 3

    The tumor cells were large, with ample, vacuolated cytoplasm, large blastic nuclei (blue arrow) with irregular nuclear membranes, and abundant mitotic figures (red arrow) (hematoxylin and eosin, × 40).

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Cleveland Clinic Journal of Medicine: 86 (2)
Cleveland Clinic Journal of Medicine
Vol. 86, Issue 2
1 Feb 2019
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Aleukemic leukemia cutis
Tuyet Nguyen Abraham, Peter Morawiecki, Amy Flischel, Bharata Agrawal
Cleveland Clinic Journal of Medicine Feb 2019, 86 (2) 85-86; DOI: 10.3949/ccjm.86a.18057

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Aleukemic leukemia cutis
Tuyet Nguyen Abraham, Peter Morawiecki, Amy Flischel, Bharata Agrawal
Cleveland Clinic Journal of Medicine Feb 2019, 86 (2) 85-86; DOI: 10.3949/ccjm.86a.18057
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