GRANULAR ACUTE LYMPHOBLASTIC LEUKEMIA IN A PAEDIATRIC PATIENT- A RARE CASE REPORT

Abstract

1MD Candidate, Department of Pathology, Gandhi Medical College, Bhopal, Madhya Pradesh, India. 2Professor, Department of Pathology, Gandhi Medical College, Bhopal, Madhya Pradesh, India. 3Assistant Professor, Department of Pathology, Gandhi Medical College, Bhopal, Madhya Pradesh, India. 4MD Candidate, Department of Pathology, Gandhi Medical College, Bhopal, Madhya Pradesh, India. 5MD Candidate, Department of Pathology, Gandhi Medical College, Bhopal, Madhya Pradesh, India. HOW TO CITE THIS ARTICLE: Yadav P, Nigam RK, Rampuri V, et al. Granular acute lymphoblastic leukemia in a paediatric patienta rare case report. J. Evolution Med. Dent. Sci. 2019;8(07):469-471, DOI: 10.14260/jemds/2019/104 PRESENTATION OF CASE A one-year male child presented with pyrexia, periorbital puffiness and excessive cry for 8 days. No history of melena or blood loss. The infant s birth history and medical history were unremarkable. His development was normal, and he had no unusual dietary intake. Physical examination revealed a well-developed, irritable male infant. His temperature was 38.9°C; pulse 186/min; respirations 32/min; oxygen saturation 95% on room air; and weight, 7.5 kg (25th percentile for his age). He had pallor, distended abdomen and hepatosplenomegaly, with a liver edge palpable 5 cm below the right costal margin and a spleen tip palpable 4 cms below the left costal margin. Abdominal ultrasound revealed liver of 12 cm and spleen of 15 cm size.