Acute Lymphoblastic Leukemia in Childhood Following Pyoderma Gangrenosum
- 1 Hematology and Oncology Unit, Departments of Pediatric, UHC Mohammed VI, Medical School of OUJDA, University Mohamed I, Oujda, Morocco
- 2 Hematology and Oncology Unit, Departments of Pediatric, UHC Mohammed VI, Medical School of OUJDA, University Mohamed I, Oujda, Morocco
- 3 Hematology and Oncology Unit, Departments of Pediatric, UHC Mohammed VI, Medical School of OUJDA, University Mohamed I, Oujda, Morocco
- 4 Hassan Pathological Anatomy Center, Rabat, Morocco
- 5 Hematology and Oncology Unit, Departments of Pediatric, UHC Mohammed VI, Medical School of OUJDA, University Mohamed I, Oujda, Morocco
- 6 Hematology and Oncology Unit, Departments of Pediatric, UHC Mohammed VI, Medical School of OUJDA, University Mohamed I, Oujda, Morocco
- 7 Hematology and Oncology Unit, Departments of Pediatric, UHC Mohammed VI, Medical School of OUJDA, University Mohamed I, Oujda, Morocco
- 8 Hematology and Oncology Unit, Departments of Pediatric, UHC Mohammed VI, Medical School of OUJDA, University Mohamed I, Oujda, Morocco
Abstract
Pyoderma gangrenosum (PG) is a rare but serious ulcerating skin disease that occurs either idiopathically or associated with various systemic diseases and malignant tumors. Although the association of PG with myeloid malignant tumors is well known, their association with lymphoid malignant tumors, especially in children is extremely rare. We present here a case of PG in a 4-year and 4 month s female child, diagnosed in the Pediatrics department, which had initially evolved well with oral corticosteroid therapy and a local dermocorticoid. The development was marked 7 months after stopping corticosteroid treatment by the occurrence of acute lymphoblastic leukemia. This case of PG is presented in the intention of increasing awareness of this uncommon condition with may oc c ur ring in association with haematological malignancy. PG may precede, develop concurrently with, or follow various conditions .
- Brunsting, L.A., Goeckerman, W.H. and O’Leary, P.A. (1930) Pyoderma (Echthyma) Gangrenosum: Clinical and Experimental Observations in Five Cases Occurring in Adults. Archives of Dermatologie, 22, 655-680. https://doi.org/10.1001/archderm.1930.01440160053009
- Powell, F.C. and Perry, H.O. (1984) Pyoderma Gangrenosum in Childhood. Archives of Dermatology, 120, 757-761. https://doi.org/10.1001/archderm.1984.01650420067018
- Powell, F.C., Schroeter, A.L., Su, W.P. and Perry, H.O. (1985) Pyoderma Gangrenosum: A Review of 86 Patients. Quarterly Journal of Medicine, 55, 173-186.
- Su, W.P.D., Davis, M.D.P., Weenig, R.H., Powell, F.C. and Perry, H.O. (2004) Pyoderma Gangrenosum: Clinicopathologic Correlation and Proposed Diagnostic Criteria. International Journal of Dermatology, 43, 790-800. https://doi.org/10.1111/j.1365-4632.2004.02128.x
- Callen, J.P. (1998) Pyoderma Gangrenosum. Lancet, 351, 581-585. https://doi.org/10.1016/S0140-6736(97)10187-8
- Miller, J., Yentzer, B.A., Clark, A., Jorizzo, J.L. and Feldman, S.R. (2010) Pyoderma Gangrenosum: A Review and Update on New Therapies. Journal of the American Academy of Dermatology, 62, 646-654. https://doi.org/10.1016/j.jaad.2009.05.030
- Brooklyn, T., Dunnill, G. and Probert, C. (2006) Diagnosis and Treatment of Pyoderma Gangrenosum. BMJ, 333. https://doi.org/10.1136/bmj.333.7560.0-c
- Kamile, A., Yasemin, O. and Mehmet, C. (2017) Bullous Pyoderma Gangrenosum as the Presenting Sign of Acute Myeloid Leukemia in a Child. Journal of Pediatric Hematology/Oncology, 39, 312-313. https://doi.org/10.1097/MPH.0000000000000796
- Graham, J.A., Hansen, K., Rabinowitz, L.G. and Esterly, N.B. (1994) Pyoderma Gangrenosum in Infants and Children. Pediatric Dermatology, 11, 10-17. https://doi.org/10.1111/j.1525-1470.1994.tb00065.x
- Bakhshi, S., Sethuraman, G., Singh, M.K. and Singh, L.A. (2005) Atypical Pyoderma Gangrenosum as a Manifestation of Childhood Acute Lymphoblastic Leukemia. Pediatric Dermatology, 22, 543-545. https://doi.org/10.1111/j.1525-1470.2005.00136.x
- Prystowsky, J.H., Kahn, S.N. and Lazarus, G.S. (1989) Present Status of Pyoderma Gangrenosum: Review of 21 Cases. Archives of Dermatology, 125, 57-64. https://doi.org/10.1001/archderm.1989.01670130059007
- Powell, F.C., Su, W.P. and Perry, H.O. (1996) Pyoderma Gangrenosum: Classification and Management. Journal of the American Academy of Dermatology, 34, 395-409. https://doi.org/10.1016/S0190-9622(96)90428-4