Chest radiographic and CT findings in hyperleukocytic acute myeloid leukemia

Autor: Michael Stefanski, Andry Van de Louw, Carlos Jamis-Dow, David F. Claxton, Ruchi J Desai, Michael G. Bayerl
Rok vydání: 2016
Předmět:
Zdroj: Medicine
ISSN: 0025-7974
DOI: 10.1097/md.0000000000005285
Popis: Hyperleukocytic acute myeloid leukemia (AML) is associated with pulmonary complications and high early mortality rate, but given its rarity, data on chest radiographic presentation are scarce. We retrospectively reviewed the charts of 73 AML patients admitted with white blood cell count >100 × 109/L between 2003 and 2014 in order to describe the chest radiographic and computed tomography (CT) findings and to correlate them with AML subtype and respiratory symptoms. Forty-two of the 73 patients (58%) overall and 36 of the 54 patients (67%) with clinical signs of pulmonary leukostasis had abnormal radiographs on admission. The presence of radiographic abnormalities was significantly associated with dyspnea and oxygen/ventilatory support requirements (P
Databáze: OpenAIRE