T-cell lymphoblastic leukaemia with primary cutaneous involvement is uncommon in children. We describe a 6-year-old girl who was hospitalised to our hospital with several skin lesions. She appeared pale and frail. There was lymphadenopathy all over the body. A complete blood test revealed a white blood cell count of 216,000/mm3. A peripheral blood smear revealed 80% lymphoblasts. Flowcytometry demonstrated that 96 percent of the blastic cells in the bone marrow had the immunophenotype and morphological features of acute lymphoblastic leukaemia (T-ALL). The treatment procedure for ALL BFM -95 remission induction was initiated. After two months of cytotoxic therapy, the skin lesion remained the same. After four months of treatment, her symptoms became more severe, and she died.
Author (s) Details
Lohit Kumar Kalita
Department of Oncology, Gauhati Medical College & Hospital, Guwahati, Assam, India.
Chayanika Kalita
Department of Dermatology, Gauhati Medical College & Hospital, Guwahati, Assam, India.
Pabitra Kumar Gogoi
Department of Clinical Hematology, Gauhati Medical College & Hospital, Guwahati, Assam, India.
Umesh Chandra Sharma
Vice-Chancellor, Srimanta Sankadeva University of Health Sciences, Narakasur HillTop, Guwahati, Assam, India.
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