Volume 4, Issue 3, Pages (April 2018)

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Volume 4, Issue 3, Pages 270-273 (April 2018) Exacerbation of mycosis fungoides leading to the diagnosis of chronic myelomonocytic leukemia Rose K.C. Moritz, MD, Dieter Metze, MD, Stefanie Wiebe, MD, Andrea Kerkhoff, MD, Wolfgang E. Berdel, MD, Carsten Weishaupt, MD JAAD Case Reports Volume 4, Issue 3, Pages 270-273 (April 2018) DOI: 10.1016/j.jdcr.2017.09.023 Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 A, example of an abcess-like lesion on the patient's arm. B, Histologic picture of an abscess-like lesion with abundant superficial and deep interstitial and perivascular infiltrate of neutrophilic granulocytes with signs of leucocytoclasia. Additionally, larger MPO-positive myelomonocytic cells can be found. JAAD Case Reports 2018 4, 270-273DOI: (10.1016/j.jdcr.2017.09.023) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Subepidermal infiltrate of CD3+ cells with hyperchromatic, atypical nuclei, and abundant epidermotropism. Single myelomonocytic cells around the deep dermal vessels. JAAD Case Reports 2018 4, 270-273DOI: (10.1016/j.jdcr.2017.09.023) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 A and C, Clinical picture shortly after reintroduction of PUVA treatment. B and D, Clinical picture 4 months after introduction of azacitidine and bexarotene combination therapy. JAAD Case Reports 2018 4, 270-273DOI: (10.1016/j.jdcr.2017.09.023) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions