Abstract
Three cases of childhood acute lymphatic leukaemia masquerading as juvenile chronic arthritis are presented. All had symptoms and signs for at least 4 months before leukaemia was diagnosed and in two the full blood count was normal at presentation. The importance of a high index of suspicion is emphasized, particularly if the white cell count is low.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Clausen N., Gøtze H., Pedersen A., Riis-Petersen J., Tjalve E. Skeletal scintigraphy and radiography at onset of acute lymphocytic leukemia in children. Med Pediatr Oncol. 1983;11(4):291–296. doi: 10.1002/mpo.2950110417. [DOI] [PubMed] [Google Scholar]
- Craft A. W. Arthritis in children. Br J Hosp Med. 1985 Apr;33(4):188–194. [PubMed] [Google Scholar]
- Hann I. M., Gupta S., Palmer M. K., Morris-Jones P. H. The prognostic significance of radiological and symptomatic bone involvement in childhood acute lymphoblastic leukaemia. Med Pediatr Oncol. 1979;6(1):51–55. doi: 10.1002/mpo.2950060108. [DOI] [PubMed] [Google Scholar]
- Rogalsky R. J., Black G. B., Reed M. H. Orthopaedic manifestations of leukemia in children. J Bone Joint Surg Am. 1986 Apr;68(4):494–501. [PubMed] [Google Scholar]
- Saulsbury F. T., Sabio H., Conrad D., Kesler R. W., Levien M. G. Acute leukemia with features of systemic lupus erythematosus. J Pediatr. 1984 Jul;105(1):57–59. doi: 10.1016/s0022-3476(84)80359-5. [DOI] [PubMed] [Google Scholar]
- Schaller J. Arthritis as a presenting manifestation of malignancy in children. J Pediatr. 1972 Oct;81(4):793–797. doi: 10.1016/s0022-3476(72)80108-2. [DOI] [PubMed] [Google Scholar]
- Sills E. M. Errors in diagnosis of juvenile rheumatoid arthritis. Johns Hopkins Med J. 1973 Aug;133(2):88–95. [PubMed] [Google Scholar]
- Simmons C. R., Harle T. S., Singleton E. B. The osseous manifestations of leukemia in children. Radiol Clin North Am. 1968 Apr;6(1):115–130. [PubMed] [Google Scholar]