MYELODYSPLASIA PRESENTING WITH PULMONARY MANIFESTATIONS ASSOCIATED WITH NEUTROPHILIC DERMATOSIS

We present the case of a patient who suffered from severe pneumonia, E xtensive diagnostic procedures revealed negative cultures and a severe neutrophilia in the bronchoalveolar lavage fluid suggestive of Sweet' s syndrome. The persistent toxic leukocyte differentation (not induced by infection) suggested an underlying hematologic disorder. One week later, she developed cutaneous lesions indicative of neutrophilic derm atosis. Bone marrow investigation showed refractory anemia with excess of blasts (RAEB), Both the pulmonary and cutaneous infiltrates improv ed after treatment with chemotherapy.