A single black ulcer in a child with acute lymphocytic leukemia

Ecthyma gangrenosum is an uncommon dermatological manifestation characterized by round, indurated ulcers with a central necrotic black eschar and surrounding erythema. This report describes the case of a 5-year-old girl, affected by acute lymphocytic leukemia, presenting with a black eschar on her r...

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Bibliographic Details
Published inAnais brasileiros de dermatología Vol. 91; no. 6; pp. 815 - 816
Main Authors Vestita, Michelangelo, Filoni, Angela, Santoro, Nicola, Arcamone, Gianpaolo, Bonamonte, Domenico
Format Journal Article
LanguageEnglish
Published Brazil Sociedade Brasileira de Dermatologia 01.12.2016
Subjects
Bacillus anthracis
Case Report
Child, Preschool
DERMATOLOGY
Ecthyma - microbiology
Ecthyma - pathology
Female
Humans
Precursor Cell Lymphoblastic Leukemia-Lymphoma - complications
Pseudomonas aeruginosa
Pseudomonas Infections - microbiology
Pseudomonas Infections - pathology
Skin Ulcer - microbiology
Skin Ulcer - pathology
Ulcer
Bacillus anthracis
Pseudomonas aeruginosa
Ulcer
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Summary:Ecthyma gangrenosum is an uncommon dermatological manifestation characterized by round, indurated ulcers with a central necrotic black eschar and surrounding erythema. This report describes the case of a 5-year-old girl, affected by acute lymphocytic leukemia, presenting with a black eschar on her right thigh. Such lesions should always be correctly identified to avoid potentially fatal bacteraemia. Furthermore, because of its similar clinical presentation, cutaneous anthrax must be ruled out.
ISSN:0365-0596
1806-4841
1806-4841
0365-0596
DOI:10.1590/abd1806-4841.20164989