Hematologist-Oncologist Questions Leukemia

Can leukemia cause a rash on the legs?

My grandson was diagnosed with leukemia a while ago, and is being treated with chemotherapy. I noticed something like a rash on the bottom of his legs, with tiny red spots. Could this have been caused by his leukemia?

3 Answers

It is not likely caused by leukemia but may be caused by a low platelet count. I would call the doctor and mention it to him/her.
It could be a mutitude of things including chemotherapy drug rash, petechial eruption from low platelet counts, leukemic infiltration in the skin, infection from virus, bacteria, or fungus. Make sure your grandson visits his oncologist! I wish the boy well.
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The rash could be due to low platelets that cause putouts typically on the legs especially shins. Purpura does not hurt or itch and if you press the lesions they do not disappear showing this is blood under the skin. Other causes of rash could be a drug effect or infection. Rarely leukemia can affect the skin and cause a rash but this would not be a common feature.

Hope this helps