UNIGE document Scientific Article - Case report
previous document  unige:43851  next document
add to browser collection
Title

Pediatric leukemia revealed by a limping episode: a report of four cases

Authors
Published in Orthopaedics & Traumatology, Surgery & Research. 2009, vol. 95, no. 1, p. 77-81
Abstract Acute limping in children is a common reason for consultation in pediatric emergency units. Acute leukemia is a rarely encountered disease in the orthopedic surgeon's activity. In addition, its clinical presentation is not typical and therefore is a source of possible diagnostic delay. For such reasons, there is a definite risk of undiagnosing the actual etiology of the limping episode. We report our experience with four cases of children initially seen in the pediatric emergency department for limping, as their revealing presentation of acute leukemia. The limb pain was highly variable. The radiographic work-up was always normal. Peripheral blood abnormalities were initially absent in one case and blastic cells were absent in two cases. The physician in charge should remember that paraclinical work-up normal results do not exclude a diagnosis of acute leukemia, that any drop in hematopoietic cell counts should call for a myelogram and that paraclinical exams, including the hemogram, should be repeated until a diagnosis and improvement or confirmed cure is achieved over time.
Keywords Child, PreschoolEmergency Service, HospitalGaitHumansLeukocyte CountMaleMobility LimitationPain/etiologyPrecursor B-Cell Lymphoblastic Leukemia-Lymphoma/complications/diagnosisThrombocytopenia/etiology
Identifiers
PMID: 19251241
Full text
Article (Published version) (278 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Citation
(ISO format)
LEFEVRE, Yan et al. Pediatric leukemia revealed by a limping episode: a report of four cases. In: Orthopaedics & Traumatology, Surgery & Research, 2009, vol. 95, n° 1, p. 77-81. https://archive-ouverte.unige.ch/unige:43851

173 hits

1 download

Update

Deposited on : 2014-12-18

Export document
Format :
Citation style :