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Abstract:  An 8-year-old boy presented with a widespread cutaneous eruption featuring macules, papules, nodules, and ulcers. The histologic infiltrate showed T lymphoblasts, but there was no sign of systemic involvement, so aleukemic leukemia cutis was diagnosed. Two months later, he developed leukemia in peripheral blood and bone marrow that was characterized as T-cell acute lymphoblastic leukemia.