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Crusted Violaceous Plaques on an Immunocompromised Host—Quiz Case
Lisa Y. Xu, MD;
Grace D. Bandow, MD;
Michael P. Heffernan, MD
Washington University School of Medicine, St Louis, Mo (Drs Xu and Bandow), and Wright State University School of Medicine, Dayton, Ohio (Dr Heffernan)
Arch Dermatol. 2007;143(3):417-422.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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REPORT OF A CASE
A 54-year-old woman with a 12-year history of chronic lymphocytic leukemia presented with a 17-day history of new-onset fever, pancytopenia, and a 3-month history of crusted violaceous plaques on her right forearm 2 months after undergoing chemotherapy with adriamycin, cyclosphosphamide, vincristine, and prednisone and 3 weeks after undergoing treatment with alemtuzumab. Her total leukocyte count was 0.9 x 103/µL (reference range, 3.7-10.5 x 103/µL) and her absolute neutrophil count was 0.8 x 103/µL (reference range, 1.8-7.0 x 103/µL). Although blood and urine cultures were negative for organisms, and empirical therapy with vancomycin and voriconazole was initiated, the patient's fevers persisted. The lesions were localized to her right forearm, where the skin had been occluded by tape that was used to hold an intravenous catheter that had been placed during a hospitalization 3 months earlier. . . . [Full Text of this Article]
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Arch Dermatol. 2007;143(3):417-422.
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