Bilek Ağrısı ile Acil Servise Başvuran Akut Lemfoblastik Lösemi Olgusu

A Case of Acute Lymphoblastic Leukaemia Presenting with Wrist Pain at the Emergency Department

Özet

Giriş: Lösemiler hemopoetik hücrelerin malign transformasyonu sonucu oluşan heterojen neoplastik hastalıklar grubudur. Akut lösemiler immatur myeloid veya lenfoid seri hücrelerinin kan, kemik iliği veya diğer dokuları infiltrasyonu ile karakterize hastalık grubudur. Akut lösemilerde eklem ağrısı acil servise nadir başvuru sebeplerinden biridir. Bu yazıda acil servise eklem ağrısı ile başvuran hastalarda hemogram bakmanın önemini vurguladık. Olgu Sunumu: On sekiz yaşında erkek hasta bir haftadır devam eden sol el bileğinde ağrı şikayetiyle acilimize müracaat etti. Travma öyküsü yoktu ve lökosit değeri 41900/mm3 idi. Sonuç: Basit eklem ağrısı şikâyeti ile acil servise başvuran hastalarda hemogram bakmak önemlidir. Lösemi ve diğer hematolojik hastalıkların değerlendirilme temeli olan basit hemogram çalışması her acil serviste yapılmalıdır

Abstract

Introduction: Leukaemias are a group of heterogenous neoplastic diseases resulting from malignant transformation of hematopoietic cells. Acute leukaemias are the group of diseases characterised by the infiltration of immature myeloid or lymphoid series cells into the blood, bone marrow or other tissues. In acute leukaemias, joint pain is one of the rare causes of presentation at the emergency services. In this report, we addressed the importance of haemogram evaluation by the emergency department physicians for patients with joint pain.Case Report: An 18-year old male presented at the emergency department with complaints of pain in the left wrist which had been ongoing for one week. The patient had no history of trauma and direct graphics was normal. Blood test results were determined as leukocytes 41900/mm3. Conclusion: It is important to look at haemogram results of patients presenting at the emergency department with complaints of simple joint pain. As the basis for evaluation of leukaemia and similar haematological diseases, a haemogram is a simple test which can be applied in every emergency department