Atypical Presentation of Acute Lymphoblastic Leukemia in a 7 Year Old Child

Case Report
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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.

Keywords

Acute lymphoblastic leukemia Osteoporosis Hypercalcemia Intussusceptions 
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Copyright information

© Indian Society of Haematology & Transfusion Medicine 2015

Authors and Affiliations

  • C. G. Delhi Kumar
    • 1
  • Niranjan Biswal
    • 1
  • Smita Kayal
    • 2
  1. 1.Department of PediatricsJawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)PuducherryIndia
  2. 2.Department of Medical OncologyJawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)PuducherryIndia

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