Bullous mycosis fungoides associated with an extensive ulcer and a severe leukemoid reaction.
This report presents a case of bullous mycosis fungoides associated with an extensive ulcer and a severe leukemoid reaction. The rash began as indurated erythema which was always followed by ulceration. The rashes initially responded to radiation therapy, but multiple recurrences appeared. Several bullae appeared on the trunk during the course of the illness, without any evidence of paraneoplastic pemphigus. Finally, the ulcer covered a large part of the trunk, and the patient died of sepsis with an extreme leukocyte count of 118,000/µL. A bone marrow analysis revealed a leukemoid reaction and an autopsy revealed pseudomembranous colitis.
Department of Dermatology.
Shuei
S
Sato
Department of Dermatology.
Osamu
O
Okamoto
Department of Dermatology.
Michifumi
M
Kawamoto
Department of Dermatology.
Masaki
M
Oishi
Pathology and.
Naomi
N
Yada
Hematological Unit of Internal Medicine, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama-machi, Yufu-shi, Oita, Japan.
Kazuhiro
K
Kohno
Pathology and.
Shigeo
S
Yokoyama
Department of Dermatology.
Sakuhei
S
Fujiwara
bullous mycosis fungoides; leukemoid reaction; pseudomembranous colitis.