[Revelation of an acute lymphoblastic leukemia in the delivery room].
Acute leukemia is uncommon in neonates and has a much poorer prognosis than in older children. We report on a case of acute lymphoblastic leukemia observed in a neonate who had bleeding and hepatosplenomegaly at birth, which justified intensive care during the first postnatal week. Despite early appropriate treatment, the patient died at 7 months of age. We present here physical and laboratory findings, which indicate a grim prognosis. These criteria should be considered carefully in order to ensure a realistic information for the parents and appropriate decisions.
Jacquot
A
A
Service de réanimation pédiatrique et néonatale, pédiatrie-II, hôpital Arnaud-de-Villeneuve, CHU de Montpellier, 371, avenue du Doyen-G.-Giraud, 34295 Montpellier cedex 05, France.
Bernard
F
F
Dupont
M
M
Taviaux
S
S
Guyot
D
D
Plan
O
O
Badr
M
M
Montoya
F
F
Cambonie
G
G
Picaud
J-C
JC
D003696:Delivery Rooms; D017809:Fatal Outcome; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000175:diagnosis*