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Spring 2015, Vol. 23 No. 1

Hong Kong J. Dermatol. Venereol. (2015) 23, 25-27


Case Report

A purpuric variant of acute graft versus host disease

紫癜形急性移植物抗宿主病

SS Yang楊時耀, SH Tan陳思樺, DCW Aw胡政偉

Abstract

We report a case of acute graft versus host disease (GvHD) in a 31-year-old Indonesian woman diagnosed with acute myelomonocytic leukaemia. She presented with a purpuric eruption of haemorrhagic maculopapules over both palms. This case is unusual in that this is a purpuric form of GvHD that is not commonly seen. It is also an important clinical vignette that reminds clinicians to interpret examination findings in the appropriate clinical context, where initial considerations of pompholyx and eczema should also include GvHD, leukaemia cutis and engraftment syndrome.

一個患有急性白血病的三十一歲印尼籍女子產生了急性移植物抗宿主病,在雙掌上爆發出血性丘疹。這篇病例報告的要點是提醒臨床醫師,遇到這種情況除了要考慮汗皰疹、皮膚白血病、植入綜合症以外,也必須想到罕見的血性移植物抗宿主病。

Keywords: Graft vs host disease, purpura

關鍵詞: 移植物抗宿主病、血性丘疹