Cryptic Acute Promyelocytic Leukemia (APL) Presenting as Seizures in an Adolescent.


Journal

Annals of clinical and laboratory science
ISSN: 1550-8080
Titre abrégé: Ann Clin Lab Sci
Pays: United States
ID NLM: 0410247

Informations de publication

Date de publication:
Mar 2020
Historique:
entrez: 6 5 2020
pubmed: 6 5 2020
medline: 4 2 2021
Statut: ppublish

Résumé

There are approximately 800 new cases of acute promyelocytic leukemia (APL) in the United States every year. APL is rarely observed in pediatric populations, and accounts for less than 5-10% of all pediatric cases of acute myeloid leukemia (AML). APL typically presents with symptoms related to the pancytopenia such as fatigue due to anemia, bleeding and bruising secondary to thrombocytopenia, and infections attributed to a lack of functioning leukocytes. The presentation of APL in the central nervous system (CNS) is a rare phenomenon. In addition, APL has a dismal prognosis when found in the CNS. In this case study, we describe a unique presentation of pediatric APL with cryptic insertion of the promyelocytic leukemia (PML)-retinoic acid receptor-alpha (RARA) fusion protein with a surprisingly excellent recovery.

Identifiants

pubmed: 32366568
pii: 50/2/270

Substances chimiques

Oncogene Proteins, Fusion 0
promyelocytic leukemia-retinoic acid receptor alpha fusion oncoprotein 0

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

270-273

Informations de copyright

© 2020 by the Association of Clinical Scientists, Inc.

Auteurs

Brenda Mai (B)

Department of Pathology and Laboratory Medicine, The University of Texas Health Science Center at Houston McGovern Medical School, Houston, TX, USA Brenda.Mai@uth.tmc.edu.

Christine Liang (C)

Department of Pathology and Laboratory Medicine, The University of Texas Health Science Center at Houston McGovern Medical School, Houston, TX, USA.

Andy Nguyen (A)

Department of Pathology and Laboratory Medicine, The University of Texas Health Science Center at Houston McGovern Medical School, Houston, TX, USA.

Amer Wahed (A)

Department of Pathology and Laboratory Medicine, The University of Texas Health Science Center at Houston McGovern Medical School, Houston, TX, USA.

Lei Chen (L)

Department of Pathology and Laboratory Medicine, The University of Texas Health Science Center at Houston McGovern Medical School, Houston, TX, USA.

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Classifications MeSH