Chronic neutrophilic leukemia affects mainly adults older than 50 years and occurs with equal distribution among males and females. Specific skin involvement is exceedingly rare. Nonspecific changes such as pruritus, purpura, petechiae, and ecchymoses are seen in approximately 25-30% of cases (2). Specific cutaneous involvement occurs as pruritic, infiltrative plaques on the extremities accompanied by scaling erythematous on palms and soles. In addition, patients may show hepatosple-nomegaly and fatigue (2).
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