Reactive Granulomatous Dermatitis in a Child with Acute Lymphoblastic Leukemia

Reactive granulomatous dermatitis (RGD) is an umbrella term to describe a reaction pattern characterized by skin-colored to erythematous papules, plaques, and nodules although other morphologies have been described. RGD has rarely been reported in children, and in this report, we present the case of...

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Main Authors: Hannah C. Tolson, Mariana McCune, Miranda Yousif, David DiCaudo, Elizabeth Dupuy
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2023/3428162
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author Hannah C. Tolson
Mariana McCune
Miranda Yousif
David DiCaudo
Elizabeth Dupuy
author_facet Hannah C. Tolson
Mariana McCune
Miranda Yousif
David DiCaudo
Elizabeth Dupuy
author_sort Hannah C. Tolson
collection DOAJ
description Reactive granulomatous dermatitis (RGD) is an umbrella term to describe a reaction pattern characterized by skin-colored to erythematous papules, plaques, and nodules although other morphologies have been described. RGD has rarely been reported in children, and in this report, we present the case of a 3-year-old girl with acute lymphoblastic leukemia (ALL) who presented with firm, tender nodules, and ulcerated plaques on her extremities. Histopathologic examination showed foci of dense granulomatous inflammatory infiltrates composed of histiocytes, neutrophils, and multinucleate giant cells. The constellation of clinical symptoms, negative infectious workup, and histopathology support the diagnosis of RGD.
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series Case Reports in Dermatological Medicine
spelling doaj-art-e24a7853b7bb409dbdfc29003fe3063c2025-08-20T03:20:59ZengWileyCase Reports in Dermatological Medicine2090-64712023-01-01202310.1155/2023/3428162Reactive Granulomatous Dermatitis in a Child with Acute Lymphoblastic LeukemiaHannah C. Tolson0Mariana McCune1Miranda Yousif2David DiCaudo3Elizabeth Dupuy4University of Arizona College of Medicine PhoenixUniversity of Arizona College of Medicine PhoenixUniversity of Arizona College of Medicine PhoenixMayo Clinic ScottsdalePhoenix Children’s HospitalReactive granulomatous dermatitis (RGD) is an umbrella term to describe a reaction pattern characterized by skin-colored to erythematous papules, plaques, and nodules although other morphologies have been described. RGD has rarely been reported in children, and in this report, we present the case of a 3-year-old girl with acute lymphoblastic leukemia (ALL) who presented with firm, tender nodules, and ulcerated plaques on her extremities. Histopathologic examination showed foci of dense granulomatous inflammatory infiltrates composed of histiocytes, neutrophils, and multinucleate giant cells. The constellation of clinical symptoms, negative infectious workup, and histopathology support the diagnosis of RGD.http://dx.doi.org/10.1155/2023/3428162
spellingShingle Hannah C. Tolson
Mariana McCune
Miranda Yousif
David DiCaudo
Elizabeth Dupuy
Reactive Granulomatous Dermatitis in a Child with Acute Lymphoblastic Leukemia
Case Reports in Dermatological Medicine
title Reactive Granulomatous Dermatitis in a Child with Acute Lymphoblastic Leukemia
title_full Reactive Granulomatous Dermatitis in a Child with Acute Lymphoblastic Leukemia
title_fullStr Reactive Granulomatous Dermatitis in a Child with Acute Lymphoblastic Leukemia
title_full_unstemmed Reactive Granulomatous Dermatitis in a Child with Acute Lymphoblastic Leukemia
title_short Reactive Granulomatous Dermatitis in a Child with Acute Lymphoblastic Leukemia
title_sort reactive granulomatous dermatitis in a child with acute lymphoblastic leukemia
url http://dx.doi.org/10.1155/2023/3428162
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AT marianamccune reactivegranulomatousdermatitisinachildwithacutelymphoblasticleukemia
AT mirandayousif reactivegranulomatousdermatitisinachildwithacutelymphoblasticleukemia
AT daviddicaudo reactivegranulomatousdermatitisinachildwithacutelymphoblasticleukemia
AT elizabethdupuy reactivegranulomatousdermatitisinachildwithacutelymphoblasticleukemia