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TEST YOUR IMAGE IQ

2-Year-Old Girl with ALL Develops Two Hemorrhagic Bullae in the Groin

By Ted Rosen, MD | September 23, 2011

Professor of Dermatology at Baylor College of Medicine; Chief of Dermatology at Michael E. DeBakey VA Medical Center

A 2-year-old girl being treated for acute lymphoblastic leukemia develops a low-grade fever and two hemorrhagic bullae in the groin. Within a few days, her fever spikes to 104.8° F and is accompanied by shaking chills, nausea, and diarrhea. At presentation, the patient is modestly hypotensive, and the two bullous lesions have evolved to appear as depicted here.

What is the most likely cause of these skin lesions?

	A. Pseudomonas septicemia.
	B. Brown recluse spider bite.
	C. Tularemia.
	D. Coumadin necrosis.
	E. Calciphylaxis.

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TOPIC INDEX

Cancer Types
Breast Breast (HER2+) Breast (Triple-Negative) CML Colorectal Gastrointestinal GIST Genitourinary Gynecologic Head & Neck	Hematology Kidney (Renal Cell) Leukemia Lung Lymphoma Melanoma Multiple Myeloma Ovarian Prostate Sarcoma
Supportive Care	More Topics
Bone Metastases End-of-Life Care Palliative Care	Ethics in Oncology Practice Management Practice & Policy

All Topics