A case of adult T cell leukemia with bullae in the palmoplantar regions followed by a crisis.
A 48-year-old Japanese female who had had chronic ATL for 4 years suddenly developed vesicles on the palms and soles. Histologically, these bullae were specific lesions of ATL. After a tendency toward improvement, a crisis appeared with increases in the following: peripheral white blood cells, atypical lymphocytes, CD25 positive cells, serum LDH, and soluble IL-2R. Palmoplantar bullae, a rather rare finding, may be indicative of a following crisis.
Yoshimura
K
K
Department of Dermatology, Kumamoto University Medical School, Japan.
Oishi
M
M
Johno
M
M
Ono
T
T
D005260:Female; D005533:Foot Dermatoses / Q000473:pathology*; D006229:Hand Dermatoses / Q000473:pathology*; D006801:Humans; D015458:Leukemia, T-Cell / Q000150:complications* / Q000473:pathology; D008875:Middle Aged; D012872:Skin Diseases, Vesiculobullous / Q000150:complications / Q000473:pathology*