Gennaio 2007 - Volume XXVI - numero 1
Pagine elettroniche ; Caso Contributivo
1Divisione di Pediatria Oncologica, Ospedale Infantile Regina Margherita, Torino
2Dipartimento di Patologia Clinica, Ospedale Infantile Regina Margherita, Torino
3Divisione di Ortopedia, Ospedale Infantile Regina Margherita, Torino
Indirizzo per corrispondenza: chiara_galletto@libero.it
Key words: Articular pain, Limp, Acute Lymphoblastic Leukaemia
In childhood and adolescence articular pains are frequent and in most of the cases they disappear rapidly and spontaneously. In a few patients the cause of the symptoms is an organic and/or a systemic pathology that require accurate examination and specific treatment. We report a case of a 5-year-old child suffering from limb pain associated with limp. An emocromocitometric analysis was carried out since, subsequently, the pain increased and an intermittent fever appeared. A modest piastrinopenia and a relative neutropenia led us to formulate the hypothesis of an oncoematologic pathology. A peripheral blood smear was performed and it revealed the presence of lymphoid blasts. The diagnosis of Acute Lymphoblastic Leukaemia was then confirmed by bone marrow specimen.
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