Abstract
Seven year child, who had intussusception 4 month before, readmitted for fever and walking difficulty. On examination, child had mild pallor and kyphosis of the spine but no organomegaly, lymphadenopathy or bone pain . Further evaluation revealed hypercalcemia, diffuse osteoporosis with vertebral fracture. Peripheral smear showed no blasts or pancytopenia. Bone marrow aspiration turned out to be a pre B cell ALL. This child had many atypical presentations like intussusception, osteoporosis, vertebral collapse and hypercalcemia without any classical features of ALL.
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Delhi Kumar, C.G., Biswal, N. & Kayal, S. Atypical Presentation of Acute Lymphoblastic Leukemia in a 7 Year Old Child. Indian J Hematol Blood Transfus 32 (Suppl 1), 8–10 (2016). https://doi.org/10.1007/s12288-015-0503-8
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DOI: https://doi.org/10.1007/s12288-015-0503-8