Leukemia's Wake-Up Call - A Case Report of a Patient's Journey.

IF 0.9 Q4 PHARMACOLOGY & PHARMACY Journal of pharmacy & bioallied sciences Pub Date : 2024-12-01 Epub Date: 2025-01-30 DOI:10.4103/jpbs.jpbs_1208_24
Ryon Sam, Ann Maria Pappachan, Jasmine Podimon, Sunil Mathew, Anees Ahammed, Ashna Sara Mathew
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Abstract

A 26-year-old male complained of fever, right neck swelling, anorexia, and weight loss for 4 months. The patient noticed a right swelling in the root of the neck that progressed from 1 × 1 cm to 5 × 6 cm. We reported a Kikuchi-like acute lymphoblastic leukemia (ALL) case. Three 3 × 3 cm lymph nodes were found in the right cervical area at IIB and III levels, firm, mobile, and nontender. Petechiae and purpura on the left upper limb, wet purpura on the palate, a positive Hess test, and temperature spikes were present. The patient is responding well to ALL treatment.

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白血病的警钟-一个病人旅程的个案报告。
男,26岁,主诉发热、右颈肿胀、厌食、体重下降4个月。患者发现右侧颈部根部肿胀,从1 × 1厘米扩大到5 × 6厘米。我们报告一例菊池样急性淋巴细胞白血病(ALL)病例。右侧颈淋巴区3个3 × 3 cm淋巴结,位于IIB和III级,坚固,可移动,无触痛。左上肢有瘀点和紫癜,上颚湿性紫癜,赫斯试验阳性,体温升高。病人对ALL治疗反应良好。
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