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Un caso de leucemia cutánea / A case of cutaneous leukemia
Pineda Palma, Judith; Vásquez Letrán, Selma.
  • Pineda Palma, Judith; Hospital Roosevelt. GT
  • Vásquez Letrán, Selma; Hospital Roosevelt. GT
Rev. med. interna Guatem ; 21(2): 18-22, mayo.-jul. 2017. ilus
Article in Spanish | LILACS | ID: biblio-995816
Responsible library: GT5.1
RESUMEN
Leucemia cutánea es una manisfestación extramedular de Leucemia. La frecuencia y edad de distribución depende del subtipo de leucemia1. Usualmente se presenta después que la enfermedad sistémica se ha manifestado y sugiere recaída o resistencia al tratamiento 11,12. Los hallazgos clínicos y morfológicos tienen una amplia variedad de manifestaciones y se pueden presentar en lesiones nodulares y placas. Raras manifestaciones incluyen máculas eritomatosas, ampollas y úlceras que pueden ocurrir solas o en combinación. A partir de una manifestación solitaria o en grupo, la leucemia cutis puede presentarse con rash eritematoso en un patrón clinicamente polimórfico. Consecuentemente , la leucemia cutánea debe distinguirse de diferentes diagnósticos diferenciales como por ejemplo metástasis cutáneas o malignidades viscerales, linfoma, erupciones por fármacos, infecciones virales, sifilis, úlceras de varios orígenes. En la mucosa oral, hiperplasia gingival es el principal diagnóstico diferencial.1 El conocimiento de la morfologia clinica es de tremenda importancia en casos en donde la Leucemia no fuera conocida.1 Se presenta el caso poco frecuente de una paciente con diagnóstico de leucemia mieloide aguda que desarrolla una leucemia cutánea durante su seguimiento en Consulta Externa...(AU)
ABSTRACT
Cutaneous leukemia is an extramedullary manifestation of Leukemia. The frequency and age distribution depends on the subtype of leukemia1. It usually occurs after the systemic disease has manifested and suggests relapse or resistance to treatment 11,12. The clinical and morphological findings have a wide variety of manifestations and can occur in nodular lesions and plaques. Rare manifestations include erythematous macules, blisters and ulcers that can occur alone or in combination. From a solitary or group manifestation, leukemia cutis can present with erythematous rash in a clinically polymorphic pattern. Consequently, cutaneous leukemia must be distinguished from different differential diagnoses such as cutaneous metastases or visceral malignancies, lymphoma, drug eruptions, viral infections, syphilis, ulcers of various origins. In the oral mucosa, gingival hyperplasia is the main differential diagnosis.1 The knowledge of the clinical morphology is of tremendous importance in cases where the Leukemia was not known.1 The rare case of a patient diagnosed with acute myeloid leukemia is presented that develops a cutaneous leukemia during its follow-up in Outpatient Consultation ... (AU)  
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: HTLV-I Antigens / Leukemia / Neoplasms Type of study: Case report / Controlled clinical trial Limits: Adult / Humans / Male Country/Region as subject: Central America / Guatemala Language: Spanish Journal: Rev. med. interna Guatem Journal subject: Medicina Year: 2017 Type: Article Affiliation country: Guatemala Institution/Affiliation country: Hospital Roosevelt/GT
Full text: Available Index: LILACS (Americas) Main subject: HTLV-I Antigens / Leukemia / Neoplasms Type of study: Case report / Controlled clinical trial Limits: Adult / Humans / Male Country/Region as subject: Central America / Guatemala Language: Spanish Journal: Rev. med. interna Guatem Journal subject: Medicina Year: 2017 Type: Article Affiliation country: Guatemala Institution/Affiliation country: Hospital Roosevelt/GT