Acute lymphocytic leukaemia presenting as a metabolic bone disease
SP Sukumar, K Balachandran, JP Sahoo… - Case …, 2013 - casereports.bmj.com
Case Reports, 2013•casereports.bmj.com
A 7-year-old boy presented with the acute onset of low backache of 2 months duration. An x-
ray of thoracolumbar spine revealed multiple vertebral fractures, and biochemical evaluation
showed hypercalcaemia with a suppressed parathyroid hormone which raised the
possibilities of malignancy, granulomatous conditions or vitamin D toxicity. Despite the
absence of blast cells in his blood, the bone marrow biopsy was unequivocally diagnostic of
acute lymphoblastic leukaemia.
ray of thoracolumbar spine revealed multiple vertebral fractures, and biochemical evaluation
showed hypercalcaemia with a suppressed parathyroid hormone which raised the
possibilities of malignancy, granulomatous conditions or vitamin D toxicity. Despite the
absence of blast cells in his blood, the bone marrow biopsy was unequivocally diagnostic of
acute lymphoblastic leukaemia.
A 7-year-old boy presented with the acute onset of low backache of 2 months duration. An x-ray of thoracolumbar spine revealed multiple vertebral fractures, and biochemical evaluation showed hypercalcaemia with a suppressed parathyroid hormone which raised the possibilities of malignancy, granulomatous conditions or vitamin D toxicity. Despite the absence of blast cells in his blood, the bone marrow biopsy was unequivocally diagnostic of acute lymphoblastic leukaemia.
casereports.bmj.com
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