Hiperkalsemi İçin Hemodiyafiltrasyon Uygulanan Akut Lenfoblastik Lösemi Vakası

Year 2014, Volume: 14 Issue: 4, 165 - 168, 01.10.2014

Fatih Aygün Başak Koç Fatma Deniz Aygün Gül Nihal Özdemir Bülent Zülfükar Halit Çam

https://doi.org/10.5222/j.child.2014.165

Abstract

Hiperkalsemi çocuklarda yetişkinlere göre daha az görü- len, genellikle bulantı-kusma, kilo kaybı, iştahsızlık gibi özgün olmayan belirtiler gösteren acil bir tıbbi durumdur. Şiddetli hiperkalsemi, çocuklarda malignitenin ender bir komplikasyonudur ve yaşamı tehdit edecek kadar ciddi olabilir. Bu makalede boynunda kitle yakınmasıyla başvu- ran, biyopsi sonrası kontrol biyokimyasında serum kalsi- yum düzeyinin 18.4 mg/dL saptanması üzerine yapılan incelemeler sonucu Pre B akut lenfoblastik lösemi ALL tanısı alan ve akut hiperkalsemisi için venövenöz hemodi- yafiltrasyon uygulanan 11 yaşında kız hasta sunulmuştur. Amacımız çocuklarda hiperkalsemi ayırıcı tanısında malig- nitenin unutulmaması gerektiğini anımsatmaktadır

Keywords

Hiperkalsemi, çocuk, akut lenfoblastik lösemi

A Case with Acute Lymphoblastic Leukemia Who Had Undergone Hemodiafiltration Treatment for Hypercalcemia

Abstract

Hypercalcemia is a rarely seen medical emergency in child- ren compared with adults who present with nonspecific symptoms such as loss of appetite, nausea, vomiting, weight loss. Severe hypercalcemia is a rare complication of malig- nancy in children which can result in a life threatening con- dition. Herein, we report a 11- year -old girl presenting with a mass on her neck and hypercalcemia. Her serum calcium level was 18.4 mg/dL which necessitated biochemical analy- sis with resultant establishment of diagnosis of pre B acute lymphoblastic leukemia ALL and ensuing venovenous hemofiltration treatment for her acute hypercalcemia. Our aim is to remind that malignancies should not be overlooked in the differential diagnosis of pediatric hypercalcemia

Keywords

Hypercalcemia, child, acute lymphoblastic leukemia

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