Acute lymphoblastic leukemia presenting as cyclic neutropenia.
Clinical and laboratory parameters usually allow an easy diagnosis of acute lymphoblastic leukemia in most cases. Difficult arises, however, when presentation is atypical. A young child with membranous tonsillo-pharyngitis secondary to an isolated neutropenia is reported. The neutrophilic count later showed fluctuations reminiscent of cylic neutropenia. Bone marrow examination revealed the true nature of underlying disorder.
Goraya
Jatinder S
JS
Department of Pediatrics, Government Medical College Hospital, Chandigarh, India. goraya@glide.net.in
Virdi
Verinderjit S
VS
Marwaha
Neelam
N
Khadwal
Alka
A
Parmar
Veena R
VR
D001853:Bone Marrow / Q000473:pathology; D002675:Child, Preschool; D006801:Humans; D008297:Male; D009503:Neutropenia / Q000175:diagnosis*; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000175:diagnosis*