Myeloid sarcoma - a case report

A 76-year-old male with a four-year history of idiopathic thrombocytopenia on no medications presented with acute onset generalized erythematous nodules worsening over 7-weeks. Review of symptoms was remarkable for myalgias (shoulders/thighs), unintentional 9lbs weight loss, and lower lip numbness. Physical examination revealed innumerable plumcolored 5-20mm nodules involving the face, neck, chest, abdomen, back, and extremities (Figure 1). No palpable lymphadenopathy was appreciated. A skin biopsy was performed from a 1cm nodule on the left arm (Figure 2A).