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A single black ulcer in a child with acute lymphocytic leukemia* * Work performed at the Section of Dermatology, Department of Biomedical Science and Human Oncology – University of Bari – Bari, Italy.

Abstract

Ecthyma gangrenosum is an uncommon dermatological manifestation characterized by round, indurated ulcers with a central necrotic black eschar and surrounding erythema. This report describes the case of a 5-year-old girl, affected by acute lymphocytic leukemia, presenting with a black eschar on her right thigh. Such lesions should always be correctly identified to avoid potentially fatal bacteraemia. Furthermore, because of its similar clinical presentation, cutaneous anthrax must be ruled out.

Keywords:
Pseudomonas aeruginosa; Bacillus anthracis; Ulcer

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