Raj B K A, Singh KA, Shah H. Orthopedic manifestation as the presenting symptom of acute lymphoblastic leukemia.
J Orthop 2020;
22:326-330. [PMID:
32675920 PMCID:
PMC7340973 DOI:
10.1016/j.jor.2020.05.022]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2020] [Revised: 04/24/2020] [Accepted: 05/31/2020] [Indexed: 11/23/2022] Open
Abstract
INTRODUCTION
The diagnosis of Acute lymphoblastic leukemia (ALL) is delayed due to vague presentation and normal hematological investigations.
OBJECTIVE
The objectives were to identify the frequency of ALL cases presented to the orthopedic department and with normal hematological investigations.
MATERIAL AND METHODS
250 consecutive ALL cases were retrospectively evaluated to identify cases with musculoskeletal manifestations, and laboratory investigations.
RESULTS
Twenty-two patients (4- vertebral compression fractures, 12- joint pain, 6- bone pain), presented primarily to the orthopedic department. Six patients had a normal peripheral smear.
CONCLUSION
The primary physician should maintain a high index of suspicion despite a normal peripheral smear.
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