34109 A case of aleukemic leukemia cutis mistaken for sarcoidosis

Abstract

Aleukemic leukemia cutis (ALC) is an extremely rare condition characterized by skin infiltration of leukemic cells preceding abnormal hematologic findings. Patients with ALC eventually develop a hematologic malignancy. Due to the rare incidence of this phenomenon, it may be misdiagnosed, and a high index of suspicion is essential for prompt diagnosis. We present the case of a 61-year-old woman evaluated by our inpatient dermatology service, with a 4-year evolution of skin lesions recently expanding in size and number.