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Turkish Journal of Cancer
1993, Volume 23, Number 3, Page(s) 143-147
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Atypical presentation of acute lymphoblastic leukemia in a child with vertebral collapse
FERİDE DURU, FATMA GÜMRÜK, A. MURAT TUNCER, GÖNÜL HİÇSÖNMEZ
Department of Pediatric Hematology, Hacettepe University Faculty of Medicine, Ankara-Turkey
Keywords: ALL, vertebral collapse
Summary
A 5-year old boy with acute lymphoblastic leukemia (ALL) presented with low back pain and walking disability caused by generalized osteoporosis and collapse of vertebrae due to leukemic involvement. In this patient skeletal symptoms predominated over hematologic findings of ALL and led to an erroneous initial diagnosis. Clinical and radiologic improvement of skeletal symptoms was provided by successful remission induction chemotherapy including high dose methylprednisolone (HDMP).
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