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Dermoscopic findings in neonatal leukemia cutis
Ximena Calderón-Castrat1, Reynaldo Pomar2, Roxana Maybor Lipa-Chancolla3
1Department of Pediatric Dermatology, Instituto Nacional de Salud del Niño San Borja, Lima, Perú.
Neonatal leukemia cutis, a rare skin infiltration by leukemic cells, can appear as blueberry muffin lesions. Dermoscopy reveals fine telangiectatic vessels on a pink background, aiding diagnosis in infants.
Area of Science:
- Dermatology
- Pediatric Oncology
- Hematology
Background:
- Leukemia cutis is the infiltration of leukemic cells into the skin.
- It can manifest in neonates, sometimes presenting as the 'blueberry muffin baby' phenotype.
- Early diagnosis is crucial for appropriate management.
Observation:
- A case of neonatal leukemia cutis was analyzed.
- Dermoscopic examination of the cutaneous lesions was performed.
- Specific vascular patterns were noted within the lesions.
Findings:
- The lesions exhibited a pink background.
- Fine telangiectatic arborizing vessels were consistently observed within all lesions.
- These dermoscopic features are characteristic of leukemia cutis in neonates.
Implications:
- Dermoscopy can be a valuable non-invasive tool for diagnosing neonatal leukemia cutis.
- Recognizing these dermoscopic features can expedite diagnosis and treatment initiation.
- This finding contributes to the understanding of the clinical and dermoscopic spectrum of neonatal leukemic infiltration.
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