“…1 It is a rare variant of myeloid neoplasia, formerly known as chloroma, because of its greenish colour, secondary to the expression of myeloperoxidase. 1,2 Cutaneous lesions in patients with myelodysplastic syndrome can be separated into non-specific (vasculitis, infections, neutrophilic dermatosis, ecchymosis, panniculitis and erythema multiform) and specific lesions defined by the presence of malignant hematopoietic cells in the skin. 2,3 The occurrence of cutaneous granulocytic sarcoma in the context of myelodysplastic syndromes is rare and often a sign of poor prognosis.…”