Abstract
INTRODUCTION: Aleukemic leukemia cutis (ALC) is a rare condition and concerns less than 10% of leukemia cutis (LC) cases. LC is defined as a cutaneous infiltration of neoplastic myeloid or lymphoid blasts, which occurs in the absence of any prior bone marrow or peripheral blood involvement. CASE PRESENTATION: A pediatric case of B-cell ALL presenting as ALC is presented because of an exceptional testicular localization. CONCLUSION: B-cell acute lymphoblastic leukemia presenting as ALC is rarely described in the literature, and this case could be the first of childhood ALC with testicular involvement.