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A Neutropenic Patient With Rapidly Progressive Lung Lesion*

Darryl R. Pauls, MHA; James G. Ravenel, MD; Marc A. Judson, MD, FCCP
Author and Funding Information

*From the Departments of Radiology (Mr. Pauls and Dr. Ravenel) and Pulmonary Medicine (Dr. Judson), Medical University of South Carolina, Charleston, SC.

Correspondence to: James G. Ravenel, MD, Medical University of South Carolina, Box 250322, 169 Ashley Ave, Room 297, Charleston, SC 29425; e-mail: ravenejg@musc.edu



Chest. 2004;126(4):1364-1367. doi:10.1378/chest.126.4.1364
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Extract

A 42-year-old African-American woman presented to an outpatient hematology-oncology clinic for follow-up after a bone marrow transplant with a chief complaint of pain in her extremities. Her medical history was remarkable for acute lymphoblastic leukemia positive for CD10, CD19, CD34, and Philadelphia chromosome. Ten weeks previously, she underwent a matched allogeneic unrelated donor bone marrow transplant. Her immediate posttransplant course was uneventful, and she was discharged to home 4 days prior to the current presentation. A physical examination revealed severe desquamation of her hands, legs, and scalp. She was subsequently admitted to the oncology ward with an initial diagnosis of graft-vs-host disease.

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