T cell chronic lymphocytic leukemia with bullous manifestations

Among chronic lymphocytic leukemias (CLLs), the B cell variant is the most common phenotype. The T cell is rare. A variety of cutaneous manifestations have been reported with B and T cell leukemias. We report a patient who presented with a bullous eruption and who was found to have T cell CLL. Despite different therapeutic approaches, the patient died. The cutaneous histology and autopsy findings are reviewed.