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Case Report
Non-resolving skin rash with rising white cell count: An unusual cause
1 MD, Internal Medicine Resident, Department of Internal Medicine, Creighton University School of Medicine, Phoenix, Arizona, USA
2 MHA, Head of Hematology, Oncology Unit, Associate Professor, Department of Medicine, University of Arizona, Phoenix, Arizona, USA
Address correspondence to:
Arnold Nongmoh Forlemu
MD, 2601 E Roosevelt St, Phoenix, Arizona 85008,
USA
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Article ID: 100066Z10AF2020
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How to cite this article
Forlemu AN, Kosa D, Amar S. Non-resolving skin rash with rising white cell count: An unusual cause. J Case Rep Images Oncology 2020;6:100066Z10AF2020.ABSTRACT
Introduction: Rash with leukocytosis is a common complaint in primary-care-clinics and the differential diagnosis is varied including infections, allergies, autoimmune disorders, and drug reactions. Malignancies are usually much lower in this differential diagnosis.
Case Report: We present a patient with T-cell prolymphocytic leukemia who went undiagnosed for more than a year.
Conclusion: This case highlights the fact that T-cell malignancies may be missed if the only presentation is a rash. Likewise, the case raises awareness to suspect such malignancies in patients with non-resolving rash and rising leukocytosis.
Keywords: Skin rash, T-cell prolymphocytic leukemia, Unresolving rash
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Author Contributions
Arnold Nongmoh Forlemu - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Dimas Kosa - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Surabhi Amar - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Arnold Nongmoh Forlemu et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
