ty -jour a2 -Tauro，Sudhir au -Burkeen，Christopher G. au- Pottinger，David au -Iragavarapu，Chaitanya au -Ramlal，Reshma au -Hildebrandt，Gerhard Py -2021 DA -2021/05/12 Ti -Mycartis Concorrent conti甜综合征：急性髓样白血病SP -6621007 VL -2021 AB -2021 AB-急性髓细胞性白血病（AML）是美国成年人中最常见的急性白血病，如果未治疗，则预测不良。通常，AML表现出与并发性白细胞减少，贫血或血小板减少症有关的症状。但是，由于它能够影响体内许多器官系统，AML可以具有高度不同的临床表现。一种这样的表现是心肌炎，这是AML的很少报道的表现。心肌炎可能具有多种临床状况，通常需要排除其他心脏功能障碍的原因。甜综合征，也称为急性发热性嗜中性粒细胞性皮肤病，是AML的另一种表现。但是，与心脏受累相比，它通常与AML相关。甜综合征可能发生在已经确定的恶性肿瘤患者中，也可能在先前未诊断的癌症患者中从头开始，并且有趣的是，也可能伴有外表现，其中一种是心肌炎。在本文中，我们报告了一个有肥胖和抑郁病史的45岁男性案例，患有胸痛，温柔而弥漫性皮疹以及全血管减少症。 Heart catheterization performed at outside institution was negative for coronary artery disease. Cardiac MRI images were compatible with myocarditis. Dermal biopsy of the rash was consistent with sweet syndrome. Peripheral blood flow cytometry and bone marrow biopsy confirmed the diagnosis of AML. He was treated with an induction chemotherapy regimen of 7 days of cytarabine and 3 days of daunorubicin with resolution of his chest pain and skin lesions. The patient had persistent leukemia cells on day 14 postinduction bone marrow biopsy and was treated with high-dose cytarabine reinduction treatment. Bone marrow biopsy with count recovery after reinduction therapy revealed complete response (CR). SN - 2090-6560 UR - https://doi.org/10.1155/2021/6621007 DO - 10.1155/2021/6621007 JF - Case Reports in Hematology PB - Hindawi KW - ER -