title: A young male with bone pain.
abstract: A 38-year-old male presented with a 6-month history of pain in the right thigh associated with weight loss. His full blood count was normal, as were his biochemistry, immunology, autoimmune screen and prostate-specific antigen. Inflammatory markers were elevated. All preliminary radiological investigations were normal. Bone scan and magnetic resonance imaging were highly suggestive of a leukaemic process. Bone marrow biopsy and peripheral blood film confirmed the diagnosis of an acute biphenotypic leukaemia. This case report highlights the fact that bone pain associated with a normal peripheral blood count may be the presentation of an acute haematological disorder in both adults and children.
authors.affiliation: Wexford General Hospital, Wexford, Ireland. orlabuck@eircom.net
authors.forename: O
authors.initials: O
authors.lastname: Buckley
authors.forename: M
authors.initials: M
authors.lastname: Reardon