An unusual diagnosis in a child presenting with hypercalcemia: Acute lymphoblastic leukemia
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Tarih
2010
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Gulhane Askeri Tip Akademisi
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Hypercalcemia is a rare complication of acute lymphoblastic leukemia in childhood. We report a 4-year-old boy who presented with hypercalcemia and was diagnosed to have acute leukemia. The laboratory tests for main causes of hypercalcemia (Hyperparathyroidism, hypervitaminosis A and D, hyperthyroidism) were within normal limits. Hypercalcemia was treated with intravenous isotonic sodium chloride solution, furosemide and corticosteroids. In repeat laboratory tests performed on day 4 of admission, a normal complete blood cell count was found, but peripheral blood smear examination at this time revealed atypical lymphocytes. A bone marrow aspiration was performed, and 80% lymphoblasts were determined. The diagnosis of acute leukemia cannot be excluded in a patient with hypercalcemia and normal complete blood cell count and peripheral blood smear examination results. Repeat laboratory and detailed peripheral blood smear examinations are necessary to make a correct diagnosis in such cases. © Gülhane Askeri Ti{dotless}p Akademisi 2010.
Açıklama
Anahtar Kelimeler
Acute Lymphoblastic Leukemia, Childhood, Hypercalcemia
Kaynak
Gulhane Medical Journal
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
52
Sayı
1
