title: Aleukemic leukemia cutis preceding acute monocytic leukemia: a case report.
abstract: Aleukemic leukemia cutis is an extremely rare clinical presentation in patients who eventually develop acute leukemia, usually of monocytic lineage. This condition is associated with a very poor prognosis and is often difficult to diagnose. We report a case of a 33 years old female with leukemia cutis preceding the onset of acute monocytic leukemia by four months. The patient received induction and consolidation chemotherapy followed by allogeneic bone marrow transplant and has been free of disease for six years. To our knowledge, this is the first documented case in Puerto Rico with the diagnosis of leukemia cutis preceding acute monocytic leukemia.
authors.affiliation: Department of Medicine, Hematology-Medical Oncology Section, University of Puerto Rico, School of Medicine, San Juan, Puerto Rico.
authors.forename: Genoveva
authors.initials: G
authors.lastname: Martínez-Poventud
authors.forename: Jean
authors.initials: J
authors.lastname: Fradera
authors.forename: Sixto
authors.initials: S
authors.lastname: Pérez
authors.forename: Adry
authors.initials: A
authors.lastname: Fernández
authors.forename: Eileen
authors.initials: E
authors.lastname: Pacheco
authors.forename: Luis
authors.initials: L
authors.lastname: Acabá
authors.forename: Alberto
authors.initials: A
authors.lastname: López-Enriquez
authors.forename: Angel
authors.initials: A
authors.lastname: Román-Díaz
authors.forename: Justiniano
authors.initials: J
authors.lastname: Castro-Montalvo
authors.forename: Enrique
authors.initials: E
authors.lastname: Vélez-García
mesh_terms: D005260:Female; D006801:Humans; D007948:Leukemia, Monocytic, Acute / Q000473:pathology* / Q000628:therapy; D017254:Leukemic Infiltration; D008875:Middle Aged; D012867:Skin / Q000473:pathology*