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Updated: Jul 17, 2026

Granulocyte-dependent Autoantibody-induced Skin Blistering
Published on: October 12, 2012
Chilblain-like leukemia cutis
Andrew G Affleck1, Jane C Ravenscroft, Iain H Leach
1Department of Dermatology, Queen's Medical Centre, University Hospital Nottingham NHS Trust, Nottingham, UK. andyaffleck@doctors.org.uk
Abstract:
We present a 6-year-old girl with an 8-month history of fluctuating chilblain-like lesions on the toes. A full blood count showed slight thrombocytopenia and monocytosis. A skin biopsy specimen showed a dense perivascular and superficial dermal cellular infiltrate which was CD3(-), CD43(+), and lysosyme + on immunocytochemistry, suggesting a monocytic origin. Juvenile myelomonocytic leukemia was diagnosed after a bone marrow biopsy and spontaneous marrow colony growth in culture.
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