Arthritis as a presentation of acute leukemia

Authors

  • Md. Abdul Aziz Department of Hematology, Faculty of Medicine, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, Dhaka
  • Surozit Kumar Sarkar Department of Hematology, Faculty of Medicine, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, Dhaka
  • Farzana Rahman Department of Hematology, Faculty of Medicine, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, Dhaka
  • Shafiqul Islam Department of Hematology, Faculty of Medicine, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, Dhaka
  • Amin Lutful Kabir Department of Hematology, Faculty of Medicine, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, Dhaka
  • Masuda Begum Department of Hematology, Faculty of Medicine, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, Dhaka

DOI:

https://doi.org/10.3329/bsmmuj.v9i4.29939

Keywords:

Arthritis, Leukemia

Abstract

A 14 year old boy presented with 3 months history of low back pain as well as pain and swelling of both knee joints. The pain was inflammatory in nature. He was thoroughly evaluated but no underlying cause was detected. However, the boy was treated with NSAIDs and sulphasalazine. A few weeks later he developed anemia and took the blood transfusion. Then he developed fever and the joint pain re-appeared. On examination, the patient was found moderately anemic, positive bony tenderness and splenomegaly. Musculoskeletal examination revealed right knee joint effusion. The investigation revealed pancytopenia. Bone marrow morphology and immunophenotyping revealed acute lymphoblastic leukemia. We treated the patient according to modified UKALL-2003 protocol and patient condition improved and arthritis disappeared.

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Published

2016-12-09

How to Cite

Aziz, M. A., Sarkar, S. K., Rahman, F., Islam, S., Kabir, A. L., & Begum, M. (2016). Arthritis as a presentation of acute leukemia. Bangabandhu Sheikh Mujib Medical University Journal, 9(4), 212–213. https://doi.org/10.3329/bsmmuj.v9i4.29939

Issue

Section

Case Reports