TY - JOUR TT - A Case of Acute Lymphoblastic Leukaemia Presenting with Wrist Pain at the Emergency Department AU - Kalkan, Asım AU - Yeniocak, Selman AU - Bilir, Özlem AU - Ersunan, Gökhan PY - 2014 DA - February JF - Journal of Emergency Medicine Case Reports PB - Acil Tıp Uzmanları Derneği WT - DergiPark SN - 2149-9934 SP - 36 EP - 38 VL - 5 IS - 2 KW - Akut lemfositik lösemi KW - eklem ağrısı KW - hemogram N2 - Introduction: Leukaemias are a group of heterogenous neoplastic diseases resulting from malignant transformation of hematopoietic cells. Acute leukaemias are the group of diseases characterised by the infiltration of immature myeloid or lymphoid series cells into the blood, bone marrow or other tissues. In acute leukaemias, joint pain is one of the rare causes of presentation at the emergency services. In this report, we addressed the importance of haemogram evaluation by the emergency department physicians for patients with joint pain.Case Report: An 18-year old male presented at the emergency department with complaints of pain in the left wrist which had been ongoing for one week. The patient had no history of trauma and direct graphics was normal. Blood test results were determined as leukocytes 41900/mm3. Conclusion: It is important to look at haemogram results of patients presenting at the emergency department with complaints of simple joint pain. As the basis for evaluation of leukaemia and similar haematological diseases, a haemogram is a simple test which can be applied in every emergency department CR - Türk Hematoloji Derneği. Akut lösemiler tanı ve tedavi kılavuzu. 2011; 29. CR - Apak A, Celkan T, Yıldız I, Zeybek C. Akut lenfoblastik lösemide iyi prognoz göstergesi; kemik tutulumu. Cocuk Sagligi Hast Derg 2003; 46: 275-80. CR - Henderson ES. Acute Leukemia: General Considerations. In Williams WJ, Beutler E, Erslev AJ, Hichtman MA, Editors. Hemayology. 4th ed. Mc- Graw Hill Puplishing Company; 1991.p.236-251. CR - Müller HL, Horwitz AE, Kühl J. Acute lymphoblastic leukemia with se- vere skeletal involvement: a subset of childhood leukemia with a good prognosis. Pediatr Hematol Oncol 1998; 15: 121-33. [CrossRef] CR - Winterstein AR, Bohndorf K, Vollert K, Wagner T, Gnekow A, Roemer FW. Invasive aspergillosis osteomyelitis in children-a case report and review of the literature. Skeletal Radiol 2010; 39: 827-31. [CrossRef] CR - B Tharmalingam H, Naresh K, Bain BJ, Pavlů J. Hypoplastic presentation of acute lymphoblastic leukemia. Am J Hematol 2012; 87: 702. [CrossRef] CR - Daams M, Schuitema I, van Dijk BW, van Dulmen-den Broeder E, Veer- man AJ, van den Bos C, et al. Long-term effects of cranial irradiation and intrathecal chemotherapy in treatment of childhood leukemia: A MEG study of power spectrum and correlated cognitive dysfunction. BMC Neurol 2012; 12: 84. [CrossRef] CR - Carroll WL, Bhojwani D, Min DJ, Raetz E, Relling M, Davies S, et al. Pediat- ric acute lymphoblastic leukemia. Hematology Am Soc Hematol Educ Program 2003: 102-31. [CrossRef] CR - Champlin R, Golde DW. The leukemias. In Harrison’s Principals of Inter- nal Medicine II. Philedelphia: Saunders; 1991.p.1552-61. CR - Rao D, Ghalaut VS, Ghalaut PS, Rao S. Case series: CSF LDH, proteins and electrolyte levels in patients of acute lymphocytic leukemia. Clin Chim Acta 2012; 413: 1045-8. [CrossRef] UR - https://dergipark.org.tr/en/pub/jemcr/issue//535668 L1 - https://dergipark.org.tr/en/download/article-file/663487 ER -