Bilek Ağrısı ile Acil Servise Başvuran Akut Lemfoblastik Lösemi Olgusu

Year 2014, Volume: 5 Issue: 2, 36 - 38, 01.02.2014

Asım Kalkan Selman Yeniocak Özlem Bilir Gökhan Ersunan

Abstract

Giriş: Lösemiler hemopoetik hücrelerin malign transformasyonu
sonucu oluşan heterojen neoplastik hastalıklar grubudur.
Akut lösemiler immatur myeloid veya lenfoid seri hücrelerinin
kan, kemik iliği veya diğer dokuları infiltrasyonu ile karakterize
hastalık grubudur. Akut lösemilerde eklem ağrısı acil servise nadir
başvuru sebeplerinden biridir. Bu yazıda acil servise eklem
ağrısı ile başvuran hastalarda hemogram bakmanın önemini
vurguladık.
Olgu Sunumu: On sekiz yaşında erkek hasta bir haftadır devam
eden sol el bileğinde ağrı şikayetiyle acilimize müracaat etti. Travma
öyküsü yoktu ve lökosit değeri 41900/mm3
idi.
Sonuç: Basit eklem ağrısı şikâyeti ile acil servise başvuran hastalarda
hemogram bakmak önemlidir. Lösemi ve diğer hematolojik
hastalıkların değerlendirilme temeli olan basit hemogram çalışması
her acil serviste yapılmalıdır

Keywords

Akut lemfositik lösemi, eklem ağrısı, hemogram

A Case of Acute Lymphoblastic Leukaemia Presenting with Wrist Pain at the Emergency Department

Abstract

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

Keywords

Acute lymphoblastic leukaemia, wrist pain, haemogram

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