TRANSIENT ABNORMAL MYELOPOIESIS IN A NEONATE
Autor: | Chethan Manohar, Ketan P. Mallya, Sushma Belurkar, M Deepak Nayak |
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Rok vydání: | 2013 |
Předmět: | |
Zdroj: | Journal of Evolution of medical and Dental Sciences. 2:184-188 |
ISSN: | 2278-4802 2278-4748 |
DOI: | 10.14260/jemds/241 |
Popis: | Transient abnormal myelopoiesis (TAM) is a unique disorder of newborns associated intimately with Down’s syndrome, presenting with clinical and morphological features indistinguishable from acute myeloid leukaemia (AML). We report a case in a neonate, presenting with severe perinatal asphyxia and cyanosis; complicated by metabolic acidosis. The hemogram revealed leucocytosis and thrombocytopenia. The peripheral smear showed marked left shift and 55% circulating myeloblasts. Additional findings included a hepatomegaly and mild dysmorphic features. The child eventually succumbed to pulmonary hemorrhage on day one itself. TAM has to be differentiated from congenital leukemia which portends a poor prognosis. |
Databáze: | OpenAIRE |
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