Table 1.
Acute Erythroid Leukemia cases reported in pediatric population
| Cases | Age/Sex | Presentation | HB/ANC/Platelet | PBS findings | BMA findings | FCMI | Karyotype | Follow up |
|---|---|---|---|---|---|---|---|---|
| Case 1 | 16 yrs/F | Fever, severe fatigue and mucocutaneous bleeding | 7.8 g/dL/0.468×109/L/67×109/L | 5% myeloblasts, 12% erythroblasts | 93% erythroblasts with >30% proerythroblasts | Positive for CD4 (33%), CD13 (46.2%), CD33 (63.3%), CD71 (42%), glycophorin A (27%), HLA-DR (56.4%), and negative for other myeloid and lymphoid markers | N/A | Died 3 days of starting the induction chemotherapy (Daunorubicin andcytarabine) |
| Ouahidi et al [5]. | ||||||||
| Case 2 | 5 yrs/M | Pain in leg, fever, gingival hypertrophy | 6 g/dL/leukocytes and platelets normal in number | Anaemia | 85% erythroblasts | Positive for CD71, CD235a, HLA DR, CD45, CD38, CD13 and negative for CD41, CD4, CD34, CD14 | 46 XY (Normal) | N/A |
| Abrantes et al [6]. | ||||||||
| Case 3 | 1 yrs/M | Fever, pallor, bleeding gums, bruising, splenomegaly | 8.2 g/dL/3.62×109/L/8×109/L | Anemia, erythroblast predominance, leukocytosis severe thrombocytopenia | 74% Erythroblasts with 50% proethroblasts and 10% myeloblasts | N/A | N/A | Died at 16th day of starting induction chemotherapy |
| Prabawa et al [7]. | ||||||||
| Case 4 | 4 mos/F | Pallor, wheezing, irritability, Flu like symptoms, hepatosplenomegaly | 5.4 g/dL/leukocytes normal in number/86×109/L | N/A | 75% Erythroblasts | Positive for CD71, CD235a | Complex 48, XX, +8, +22 [12] 48, idem, del (10)(q23) [7]/46,XX [7] | Died 8 months after diagnosis (Daunorubicin and cytarabine) relapsed at 4 months |
| Day et al [8]. | ||||||||
| Case 5 | 4 yrs/F | Pain abdomen, fever, pallor, hepatosplenomegaly | 8.4 g/dL/N.A/70×109/L | N/A | 77% Erythroblasts | Positive for CD71, CD11b | Complex 48-51, XX, der(1)t(1;6)(q10;q12), +i(1)(q10;q12), +7, del(13)(q32). Add (16)(q24), +18, +21 [25]/46.XX [2] | Died 1 month after initiation of induction chemotherapy |
| Day et al [8]. | ||||||||
| Case 6 | 2 yrs/M | Proptosis and bleeding from left eye, fever | N/A | 30% blasts and thrombocytopenia | 90% Blasts | N/A | Complex | Relapsed at 6 months (cytarabine, doxorubicin and etoposide) |
| Bhattacharya et al [9]. | ||||||||
| Present case | 15 yrs/F | Fever, increased bleeding per vaginal | 6 g/dL/0.0×109/L/112×109/L | 87% erythroids including proerythroblasts | 90% erythroid cells with 60% proeythroblasts | Positive for CD71, CD235a (glycophorin A), CD36, CD34 (10% subset), and negative for other myeloid and lymphoid markers | 46XX, add (4) (p16) | Alive, 3 months |
| Post induction (Duanorubicin and Cytarabine) |
HB: Haemoglobin; ANC: Absolute Neutrophil Count; PBS: Peripheral Blood Smear; BMA: Bone Marrow Aspirate; FCMI: Flow Cytometric Immunophenotyping; yrs: years; mos: months; F: female; M: male; N/A: Not Available.