Cutaneous aspergillosis masquerading as Sweet's syndrome in a patient with acute myelogenous leukemia

摘要

To the Editor, Aspergillosis may present as primary cutaneous lesions or as secondary cutaneous emboli.1 The former typically appear as plaques with black crust, while the latter consists of necrotic papules and plaques, often with ulceration and rapid progression. Pulmonary disease with multiple, bilateral cavitating infiltrates and nodules may appear in those with disseminated cutaneous emboli. In hosts with neutropenia or an immunocompromised status, such as our patient, the fungus can disseminate widely. Here we present a case of a 68-year-old male with newly diagnosed acute myelogenous leukemia (AML) who developed multiple pink Sweet's-like papules; the tissue stained positive with Gomori methenamine silver (GMS) stain, consistent with aspergillosis.