Acute myeloid leukemia cutis with KMT2A::MLLT3 fusion presenting with leonine facies

被引:1
|
作者
Wankel, Bret [1 ]
Afzal, Muhammad [2 ]
Loo, Eric Y. [3 ]
Leblanc, Robert E. [3 ]
Carter, Joi B. [4 ]
Lansigan, Erick [2 ]
Yerrabothala, Swaroopa [2 ]
机构
[1] Dartmouth Hitchcock Med Ctr, Dept Internal Med, Lebanon, NH 03766 USA
[2] Dartmouth Hitchcock Med Ctr, Dept Hematol & Oncol, Lebanon, NH USA
[3] Dartmouth Hitchcock Med Ctr, Dept Pathol, Lebanon, NH USA
[4] Dartmouth Hitchcock Med Ctr, Dept Dermatol, Lebanon, NH USA
来源
LEUKEMIA RESEARCH REPORTS | 2024年 / 21卷
关键词
AML; Leukemia cutis; KMT2A; Leonine facies;
D O I
10.1016/j.lrr.2023.100400
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A 63-year-old woman presented with plaques covering 60 % body-surface-area and leonine facies. Blood work showed no diagnostic aberrancies. Skin biopsy contained a malignant CD4+/CD56+ mononuclear cell population concerning for blastic plasmacytoid dendritic cell neoplasm. A later bone marrow biopsy confirmed AML with KMT2A::MLLT10 fusion detected by next-generation sequencing (NGS). This patient's LC preceded blood and marrow based symptoms of AML. NGS of the initial skin biopsy should be considered as part of diagnostic guidelines in cases with LC in the differential as this may have led to earlier diagnosis in this case and future cases.
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页数:3
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