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Christina Haverstock, MS; James F. Libecco, MD; Parrish Sadeghi, MD; Edward Maytin, MD, PhD
State University of New York at Buffalo (Ms Haverstock) and Cleveland Clinic Foundation, Cleveland, Ohio (Drs Libecco, Sadeghi, and Maytin)

Arch Dermatol. 2006;142:235-240.

	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 50-year-old hospitalized woman with newly diagnosed acute myelogenous leukemia suddenly developed tender, pruritic papules and plaques on her neck. She had been febrile during the preceding days (maximum temperature, 38.7°C). She was being treated by time-sequential chemotherapy with cytarabine (Ara-C) and etoposide (VP-16) and had received a dose of granulocyte colony-stimulating factor (G-CSF) 3 days earlier.

On physical examination, clusters of erythematous papules coalescing into indurated plaques with a pseudovesicular appearance were noted on the lateral and posterior aspects of her neck (Figure 1). Culture and direct fluorescent antibody tests were negative for herpes simplex and varicella zoster viruses. A 4-mm punch biopsy specimen of a lesion on the lateral aspect of the right side of the neck was stained with hematoxylin-eosin (Figure 2 and Figure 3).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Figure appears in full text version. . . . [Full Text of this Article]

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