AI Summary & Key Takeaways
AI InsightHe was searched again and diagnosed as acute leukemia by bone marrow evaluation.The case was presented to express once again; that acute leukemia must be kept in mind in the differential diagnosis of children with orthopedic problems.
📌 3 Key Takeaways
Abstract
In childhood, acute leukemia commonly involves the muscu-loskeletal system and it can mimic orthopedic pathologies at the beginning of the disease. History and physical examina-tion findings may be misleading. Hematological and radio-logical evaluations may not be helpful in the diagnosis. Our case is a 3 years old boy applied to us with swelling and pain in his right elbow. He was diagnosed as elbow septic arthritis and treated as septic arthritis for 6 weeks. After the end of treatment, patient's physical examination and laboratory findings were normal, but control x-ray pre-sented abnormal periosteal reaction and osteoporosis. He was searched again and diagnosed as acute leukemia by bone marrow evaluation.The case was presented to express once again; that acute leukemia must be kept in mind in the differential diagnosis of children with orthopedic problems.
Özet
Çocukluk çağında akut lösemi sıklıkla kas iskelet sistemini tutar ve başlangıçta değişik ortopedik durumları taklit ede-bilir. Öykü ve klinik bulgular yanıltıcı olabilir ve hematolo-jik ve radyolojik değerlendirmeler tanı koymada yardımcı olmayabilir. Üç yaşında erkek hasta sağ dirsekde şişlik ve ağrı nede-niyle başvurdu. Septik artrit tanısıyla altı hafta antibiyotik tedavisi aldı. Fizik muayene ve laboratuvar bulguları nor-male döndü. Çekilen kontrol sağ kol grafisinde metafizde osteoporoz ve periost reaksiyonu saptandı. Yapılan kemik iliği incelemesi sonucunda akut lösemi tanısı konuldu. Olgumuz ortopedik sorunlar ile başvuran çocukların ayırı-cı tanısında akut löseminin düşünülmesi gerektiğini vurgu-lamak için sunulmuştur.