Chronic recurrent multifocal osteomyelitis as the first presentation of acute lymphoblastic leukemia in a 2-year-old boy.
We present herein a 2-year-old boy who suffered from chronic recurrent multifocal osteomyelitis for 6 months and was later diagnosed as acute lymphoblastic leukemia. In view of the rarity of bilateral symmetric and multifocal lesions in osteomyelitis in children, we suggest that leukemia should be investigated with bone marrow aspiration in such patients, even if complete blood count parameters are normal, and there is no hepatosplenomegaly.
Tavil
Betul
B
Faculty of Medicine, Pediatric Hematology Unit, Ihsan Dogramaci Children's Hospital, Hacettepe University, Ankara/Turkey. betultavil@yahoo.com
Secmeer
Gulten
G
Balc
Yasemin Isk
YI
Tezer
Hasan
H
Aksoy
Cemalettin
C
Alan
Serdar
S
Gumruk
Fatma
F
Yetgin
Sevgi
S
D002675:Child, Preschool; D002908:Chronic Disease; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000175:diagnosis* / Q000188:drug therapy; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000175:diagnosis* / Q000188:drug therapy; D011379:Prognosis; D012008:Recurrence