Bilateral Serous Macular Detachment as a Presenting Feature of Acute Lymphoblastic Leukemia

2005 ◽  
Vol 15 (2) ◽  
pp. 284-286 ◽  
Author(s):  
R. Malik ◽  
A. Shah ◽  
M.J. Greaney ◽  
A.D. Dick

Purpose To report a case of bilateral serous maculopathy as an initial sign of acute lymphoblastic leukaemia in children. Methods/Results A 13-year-old girl, who presented with symptoms of visual blurring, was found to have a bilateral serous maculopathy. Haematological abnormalities (thrombocytopenia with a mild lymphocytosis) prompted further investigation. A bone marrow aspirate revealed the presence of leukemic blasts and a diagnosis of acute lymphoblastic leukaemia was made. Her maculopathy completely resolved following systemic chemotherapy. Conclusions Prompt recognition of disease led to early systemic treatment and restoration of visual function.

2021 ◽  
Vol 71 (2) ◽  
pp. 469-72
Author(s):  
Hafiz Muhammad Murtaza ◽  
Tariq Ghafoor ◽  
Muhammad Shaheen Iqbal

Objective: To find out the rate of remission of Pre-B Acute Lymphoblastic Leukaemia in children at the end of induction treatment with United Kingdom Acute Lymphoblastic Leukaemia (UKALL) 2011 chemotherapy protocol. Study Design: Prospective observational study. Place and Duration of Study: Paediatric Oncology Unit, Combined Military Hospital Rawalpindi, from Nov 2017 to Oct 2018. Methodology: Data of newly diagnosed patients of Pre-B Acute lymphoblastic Leukaemia, between 1 and 15 years of age was analysed. Patients were divided into low and high-risk groups and treated with United Kingdom Acute Lymphoblastic Leukaemia 2011 induction chemotherapy on regimens A and B respectively. Bone marrow aspiration was performed at the end of induction therapy (28 days), to document their remission status. Patients having ≤5% of blast cells were categorized to be in remission state and those with >5% blast cells were not considered in a state of remission. Results: A total of 79 patients, 45 (57%) male and 34 (43%) females were enrolled. The mean age was 5.79 ± 3.59 years. Fever (86.1%) and pallor (77.2%) were the most common presentations. Fifty-three (67.1%) patients were treated with regimen A and 26 (32.9%) had regimen B chemotherapy. Febrile neutropenia and myopathy were the most common complications seen in 73 (92.4%) and 54 (71.1%) patients respectively. Eight patients (10.1%) died during induction chemotherapy. Bone marrow aspiration done at the end showed a 100% rate of remission for both regimens A and B. Conclusion: Risk-based treatment of paediatric Acute lymphoblastic Leukaemia............


The Lancet ◽  
1987 ◽  
Vol 329 (8536) ◽  
pp. 786-789 ◽  
Author(s):  
RogerH. Herzig ◽  
A. John Barrett ◽  
Eliane Gluckman ◽  
StevenJ. Jacobsen ◽  
Tohru Masaoka ◽  
...  

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