Manifestations cutanées des leucémies

S Mansouri, S Aractingi
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引用次数: 3

Abstract

Skin manifestations in patient with malignant hematology diseases are very diverse. Knowledge of these manifestations is important in clinical practice. On one hand, it permits the diagnosis of an unknown malignant hematology diseases, and on the other hand, certain skin lesions can alter the prognosis or therapeutic approach in known disease. These skin manifestations can be split into four categories : specific skin lesions, “satellite” or paraneoplastic lesions, skin infections, and skin lesions induced by chemotherapy. The clinical, and histological aspects of these manifestations are very rich indeed. The specific skin manifestations are often easily diagnosed, but can be mistaken for cases of myelodysplastic syndromes. The satellite manifestations are characterized by neutrophilic dermatoses and vasculitis.The skin infections may be misleading as a result of the neutropenia. Skin biopsy should be repeat for histological, bacteriological, virological, and mycological examinations in patient with malignant hematology diseases.

白血病的皮肤表现
恶性血液病患者的皮肤表现非常多样。了解这些表现在临床实践中很重要。一方面,它可以诊断未知的恶性血液病,另一方面,某些皮肤病变可以改变已知疾病的预后或治疗方法。这些皮肤表现可分为四类:特异性皮肤病变、“卫星”或副肿瘤性病变、皮肤感染和化疗引起的皮肤病变。这些表现的临床和组织学方面确实非常丰富。特定的皮肤表现通常很容易诊断,但可能被误认为是骨髓增生异常综合征。卫星表现以中性粒细胞性皮肤病和血管炎为特征。由于中性粒细胞减少,皮肤感染可能会引起误解。恶性血液病患者应重复进行皮肤活检,进行组织学、细菌学、病毒学和真菌学检查。
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