Question

write a case study for acute lymphocytic leukemia .

write a case study for acute lymphocytic leukemia .

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Case- a child comes with bone pain and sternal depression with patechaie on body and also have pallor

Study

Clinical features

1- pallor

2- patechaie

3-TLC Increeased - infection like pnomenias

4-Lymphadenopathy

5- hepatosplenomegaly

6- cns lekiemia

7- testis lump

8- sternal depression

9- bone pain

Work up /investigation

1- Bone marrow study

2- flow cytometry- CD19,20,21,22- T CELL

CD-27-- B CELL

Treatment

Vincristine

Aderamycine

Predensolone

L-aspargenase

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