Figure 1.

Multiple red-brown tumors and nodules on the skin of the central surface of the forehead and the cheeks of a 78-year-old male patient with CLL in the form of symmetrical nodular infiltrates (A). Moreover, numerous, scattered red-blue papules and nodules with a hemorrhagic reaction are present on the torso (B). Fine needle biopsy of the forehead tumor (1000× magnification) (C) and biopsy of the skin torso infiltration in hematoxylin and eosin staining (25× magnification, panel (D)), and in immunohistochemistry for CD20 (200× magnification, panel (E)), CD23 (200× magnification, panel (F)), CD5 (200× magnification, panel (G)), and CD3 (200× magnification, panel (H)).