Abstract

A 37-year-old Caucasian man with history of chronic myeloid leukemia (CML), not in remission, and Sweet syndrome (SS) presented for evaluation of a rash present for 1 month which had worsened in the prevceding 2 weeks. At the onset of rash his oncologist was concerned for blast crisis due to rapidly increasing WBC, and a biopsy was taken which was concerning for leukemia cutis (LC). At the time of our exam, the patient was afebrile with elevated WBC and otherwise unremarkable labs. He had countless indurated erythematous crusted papules and pustules, some with necrosis, coalescing into plaques on the face, scalp, upper and lower cutaneous lips, upper back, chest, and bilateral upper extremities.

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