Leukemia Cutis: A Rare Initial Presentation of Chronic Lymphocytic Leukemia
CLL is the most common adult leukemia in western countries accounting for 25–30% cases with a median age of diagnosis of 70 years . Most patients are asymptomatic at diagnosis and come to clinical attention due to incidentally detected lymphocytosis. Cutaneous lesions can be seen in 25% of CLL cases but usually represent non-specific etiology like infection, autoimmune phenomenon or even more common in relapse/refractory cases . True leukemic involvement is seen in less than 5% cases and may portend a better prognosis. Here, we describe a case of CLL with skin involvement at initial presentation.