A wide spectrum of skin manifestations occurs in leukemia.Skin lesions are often due to infection, drug reaction, orinflammation.1 Rarely, extramedullary leukemia can invadethe skin and is called leukemia cutis.2 Leukemia cutis isthe infiltration of neoplastic leukocytes into the dermis orsubcutaneous tissue, resulting in an identifiable skin lesion.These lesions show a varied morphology, and confirmatoryimmunohistochemical stains are needed for the diagnosis.Leukemia cutis may occur before, after, or concomitantlywith the onset of systemic leukemia.3 Here we report a case ofleukemia cutis occurring simultaneously with newly diagnosedacute myelogenous leukemia.