Chronic myeloid leukaemia with pulmonary leucostasis in a young Down syndrome patient
| Autor: | Mohd Jazman bin Che Rahim, Hany Haqimi bin Wan Hanafi, Muhammad Imran bin Kamaruddin, Azlan bin Husin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Proceedings of Singapore Healthcare, Vol 29 (2020) |
| Druh dokumentu: | article |
| ISSN: | 2010-1058 2059-2329 20101058 |
| DOI: | 10.1177/2010105820929720 |
| Popis: | We reported a rare case of chronic myeloid leukaemia (CML) complicated with pulmonary leucostasis in an 11-year-old Down syndrome (DS) patient who presented with respiratory distress. His peripheral blood investigation showed features of CML with 17% circulating blast, with immunophenotyping showing positivity towards myeloid markers. Peripheral blood polymerase chain reaction for BCR–ABL fusion transcripts was positive, and cytogenetic studies showed Ph chromosome with trisomy 21. Despite cytoreduction therapy with hydroxyurea and leukapheresis, the patient succumbed due to shock, with multiple organ failure. Our case highlights the need for early detection and rapid referral for aggressive treatment in DS patients with CML, as the combination is associated with a poor outcome. |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|