title: Acute lymphoblastic leukemia presenting as cyclic neutropenia.
abstract: 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.
authors.affiliation: Department of Pediatrics, Government Medical College Hospital, Chandigarh, India. goraya@glide.net.in
authors.forename: Jatinder S
authors.initials: JS
authors.lastname: Goraya
authors.forename: Verinderjit S
authors.initials: VS
authors.lastname: Virdi
authors.forename: Neelam
authors.initials: N
authors.lastname: Marwaha
authors.forename: Alka
authors.initials: A
authors.lastname: Khadwal
authors.forename: Veena R
authors.initials: VR
authors.lastname: Parmar
mesh_terms: D001853:Bone Marrow / Q000473:pathology; D002675:Child, Preschool; D006801:Humans; D008297:Male; D009503:Neutropenia / Q000175:diagnosis*; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000175:diagnosis*