Pediatric Acute Promyelocytic Leukemia Presenting to the Emergency Department as Refusal to Ambulate
Joint Authors
Schwartz, Kevin R.
Hanson, Jennifer M.
Friedmann, Alison M.
Source
Case Reports in Emergency Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-06-12
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A previously healthy 10-year-old girl presented to the emergency department (ED) with a headache and vomiting which resolved with oral NSAIDs.
The patient returned two days later unable to ambulate with mental slowing and lower extremity bruising.
Labs demonstrated marked leukocytosis, severe anemia and thrombocytopenia, and disseminated intravascular coagulation (DIC).
Brain MRI showed multiple intracranial hemorrhages.
A peripheral blood smear demonstrated blasts with many Auer rods.
A diagnosis of acute promyelocytic leukemia (APL) was made and therapy including all-transretinoic acid (ATRA) was initiated.
Neurologic status returned to baseline within 1 week in the pediatric intensive care unit.
American Psychological Association (APA)
Schwartz, Kevin R.& Hanson, Jennifer M.& Friedmann, Alison M.. 2018. Pediatric Acute Promyelocytic Leukemia Presenting to the Emergency Department as Refusal to Ambulate. Case Reports in Emergency Medicine،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143205
Modern Language Association (MLA)
Schwartz, Kevin R.…[et al.]. Pediatric Acute Promyelocytic Leukemia Presenting to the Emergency Department as Refusal to Ambulate. Case Reports in Emergency Medicine No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1143205
American Medical Association (AMA)
Schwartz, Kevin R.& Hanson, Jennifer M.& Friedmann, Alison M.. Pediatric Acute Promyelocytic Leukemia Presenting to the Emergency Department as Refusal to Ambulate. Case Reports in Emergency Medicine. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143205
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143205