Acute lymphocytic leukemia masquerading as acute osteomyelitis. A report of two cases.
Two children each developed a focal destructive bone lesion accompanied by intermittent fever, swelling, tenderness and elevated ESR. Blood counts were normal; bone marrow aspiration showed acute leukemia. The bone lesions healed in both patients after anti-leukemic therapy. We suggest that the similar roentgenographic appearance of osteomyelitis, bone infarction and focal destructive lesions in leukemia probably reflects a common, basically ischemic process of bone.
D000208:Acute Disease; D001856:Bone Marrow Examination; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007945:Leukemia, Lymphoid / Q000000981:diagnostic imaging*; D008297:Male; D010019:Osteomyelitis / Q000000981:diagnostic imaging*; D011859:Radiography