Health Q&A: Does this sound like Acute lymphoblastic leukemia?
Does this sound like Acute lymphoblastic leukemia?
Penny, you are asking for a guess in advance of the test that will decide the issue – the bone marrow aspiration with microscopic examination.
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Usually if A.L.L. is causing anemia and severe neutropenia, you would not see a high platelet count, so the high platelet count would be against this being a bone marrow packed with immature lymphoblastic cells.
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Also the total white blood cell count is not elevated and the absolute lymphocyte count is not elevated which is against acute lymphoblastic leukemia. It is possible to have aleukemic leukemia, but that would be rare.
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It is not medically possible to completely rule out every possible infectious disease.
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There are many possibilities here with the limited information provided. I would be looking very carefully at every medication she has taken recently. There are many drugs that can cause neutropenia. Has Epstein-Barr viral infection been specifically excluded? http://emedicine.medscape.com/article/963894-overview
We don’t even know your daughter’s age. But – We all wish you and your daughter the best outcome possible.
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Strange that she has been followed by a hematologist and is just now being “sent” for a bone marrow test. A hematologist can do this quickly and easily in the office.previous answerer is quite right -the picture is does not seem compatible with ALL.
more likely viral infection – Low grade fever, failure to thrive, neutropenia and slightly low lymphocyte count is very suggestive.
platelets raised and Hb low -anaemia with thrombocytosis – need full investigation -whether liver, spleen enlarged?
baby should be admitted and fully investigated.
I do hope you are able to do that and perhaps update us here.
wish you well and hope yr baby gets well soon.
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Acute chest syndrome in sickle cell disease.(PEDIATRIC/NEONATAL RESPIRATORY CARE): An article from: FOCUS: Journal for Respiratory Care & Sleep Medicine
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Title: Acute chest syndrome in sickle cell disease.(PEDIATRIC/NEONATAL RESPIRATORY CARE)
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Acute chest syndrome in sickle cell disease.(PEDIATRIC/NEONATAL RESPIRATORY CARE): An article from: FOCUS: Journal for Respiratory Care & Sleep Medicine
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