TRANSIENT ABNORMAL MYELOPOIESIS IN A NEONATE

Autor: Chethan Manohar, Ketan P. Mallya, Sushma Belurkar, M Deepak Nayak
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