[Rapidly progressed chronic myelomonocytic leukemia associated with severe skin infiltration].
A 79-year-old man developed nodular skin eruption in his trunk in March 1995. He was diagnosed as CTCL and hospitalized to the department of dermatology and low dose VP-16 therapy was started. 6 months later, he was referred to our department because of severe melena. On admission, marked monocytosis was observed both in the bone marrow (43.6%) and peripheral blood (monocyte > 1,000/microliter). Skin biopsy showed infiltration of large mononuclear cells in the dermis and subcutaneous tissue. Thus a diagnosis of CMML with skin infiltration was made. Skin eruption developed over his entire skin and peripheral monocytes increased over 5,000/microliter. Chemotherapy was started and skin infiltration was slightly improved, but the disease developed into acute phase and he died 3 months after admission.
Suzuki
H
H
First Department of Internal Medicine, Sapporo Medical University School of Medicine.
Takahashi
T
T
Hayashi
T
T
Kanamoto
H
H
Hamamoto
F
F
Adachi
M
M
Hinoda
Y
Y
Imai
K
K
D000368:Aged; D006801:Humans; D015477:Leukemia, Myelomonocytic, Chronic / Q000473:pathology*; D008297:Male; D012867:Skin / Q000473:pathology*