Derm Dx: Severe pain, redness in heels after cytarabine treatment

A patient, aged 16 years, with acute lymphatic leukemia status post-bone marrow transplant presented with a one-week history of severe pain and redness in the heels after two weeks of treatment with cytarabine.

The painful, sharply demarcated erythema with edematous swelling was on the planter surface of her feet with no associated blisters, erosions, or ulcerations. There were no other locations ...