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Ross M. Levy, BA; Jacqueline M. Junkins-Hopkins, MD; Joseph J. Turchi, MD; William D. James, MD

Arch Dermatol. 2002;138:1551-1554.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 49-year-old white woman presented with a 1-week history of widespread skin lesions in May 2001. Red, painful lumps appeared on her left hip and subsequently involved her legs, chest, arms, and face. She had been experiencing episodes of fever and arthralgias since the onset of her eruption. Her medical history was remarkable in that she had been diagnosed with hairy cell leukemia (HCL) 8 years earlier. At that time she had moderate leukopenia and an enlarged spleen. Results of a bone marrow aspiration and a core biopsy revealed a normocellular marrow, but an increase in mature lymphocytes was noted throughout the marrow smears and core sections. An elective splenectomy had been performed and the histological finding, mononuclear cells infiltrating the red pulp, was morphologically consistent with HCL. After the operation, the patient's peripheral . . . [Full Text of this Article]

DIAGNOSTIC CHALLENGE

COMMENT

From the Hospital of the University of Pennsylvania, Philadelphia (Mr Levy and Drs Junkins-Hopkins and James) and Mercy Health System, Philadelphia (Dr Turchi).

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