Infant Acute Lymphoblastic Leukemia with Atypical Presentation

Infant leukemia is a very rare disease and consists of 5% of all childhood leukemias. Infant leukemia usually presents with high leukocyte counts and numerous extra-hematological features including central nervous system and skin involvement. Herein, we report a 1-month-old girl presented with high phenylalanine level in national newborn screening program for phenylketonuria; and subsequently diagnosed to have acute lymphoblastic leukemia.

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[1] Daisuke Tomizawa. Recent progress in the treatment of acute infant leukemia. Pediatrics International 2015; 57: 811–819.

[2] Patrick Brown. Treatment of infant leukemias: challenge and promise. Hematology Am Soc Hematol Educ Program. 2013: 596–600.

[3] Pieters R, Schrappe M, De Lorenzo P, et al. A treatment protocol for infants younger than 1 year with acute lymphoblastic leukaemia (Interfant-99): an observational study and a multicentre randomised trial. Lancet. 2007; 370(9583): 240-250.

[4] Hunger SP, Lu X, Devidas M, et al. Improved survival for children and adolescents with acute lymphoblastic leukemia between 1990 and 2005: a report from the children’s oncology group. J Clin Oncol 2012; 30(14): 1663-1669.

[5] Pui CH, Campana D, Pei D, et al. Treating childhood acute lymphoblastic leukemia without cranial irradiation. N Engl J Med 2009; 360(26): 2730-2741.

[6] Blau N, Curtius AC, Kierat L, Leupold D, Kohne E. Hyperphenylalaninemia caused by dihydropteridine reductase deficiency in children receiving chemotherapy for acute lymphoblastic leukemia. J Pediatr 1989; 115(4) :661-3.

[7] Turkan Patiroglu, Ekrem Unal, Fatih Kardas et al. Phenylketonuria with Acute Myeloblastic Leukemia in a 9-year-old Boy: Reporting a Rare Case. J Pediatr Hematol Oncol 2011; 33:e256–e257

[8] Cheng Wang, Carol S. Camfield, Conrad V. Fernandez, Terry Hurley, Karen Campbell Clinical Report Successful Neurological Outcome of a Child with Classical Phenylketonuria and Acute Lymphoblastic Leukemia: A 7-Year Follow-Up.

[9] Shakespeare L, Downing M, Allen J, Casbolt AM, Ellin S, Maloney M, Race G, Bonham J. Elevated phenylalanine on newborn screening: follow-up testing may reveal undiagnosed galactosaemia. Ann Clin Biochem 2010; 47(Pt 6): 567-9.
Acta Medica-Cover
  • ISSN: 2147-9488
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: HACETTEPE ÜNİVERSİTESİ
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