BMJ Case Reports 2016; doi:10.1136/bcr-2016-215568

Granulomatous rosacea-like facial eruption in an elderly man: leukaemia cutis

  1. Nicola Ralph1
  1. 1Dermatology Department, Mater Misericordiae University Hospital, Dublin, Dublin, Ireland
  2. 2Department of Haematology, Mater Misericordiae University Hospital, Dublin, Ireland
  3. 3Histopathology Department, Mater Misericordiae University Hospital, Dublin, Dublin, Ireland
  1. Correspondence to Dr Aizuri Murad, aiz100{at}
  • Accepted 11 April 2016
  • Published 26 April 2016


A man in his 60s presented with a painful and non-pruritic facial eruption of 1-year duration, which was progressively worsening. He had neither ocular symptoms nor fever. He had been diagnosed with chronic lymphocytic leukaemia (CLL) 15 years prior and treated with an intravenous immunoglobulin, chlorambucil, fludarabine and cyclophosphamide combination, with rituximab on separate occasions, but had suboptimal response. His CLL had been gradually progressive in the later years. Examination of his face revealed erythaematous papules and plaques, most prominent on his nose and upper border of his eyebrows bilaterally (figure 1). There was background erythaema on his forehead and cheeks but there was no telangiectasia, and there were neither pustules nor comedones. His nose was not enlarged and the skin contour of the unaffected areas was within …

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