Abstract
We reviewed the records of all patients with a diagnosis of ALL made at our center during a 13-year period to determine the relationship between bone pain and the hematologic findings at diagnosis of acute lymphoblastic leukemia. Of 296 eligible patients, 179 (60%) had no bone pain (group 1), 65 (22%) had some bone pain (group 2), and 52 (18%) had prominent bone pain that overshadowed other manifestations of the leukemia (group 3). Statistically significant differences were found between the groups for hemoglobin concentration (p<0.001), leukocyte count (p=0.014), absolute neutrophil count (p=0.002), percentage of circulating blast cells (p=0.009), and platelet count (p<0.001). Children in group 3 had values closer to normal for all these values than those of patients in the other groups. Group 3 patients had symptoms an average of more than 2 weeks longer before diagnosis, and had significantly lower serum uric acid and higher calcium levels than patients in the other groups had. No differences were detected among the groups in age at diagnosis, gender, or survival rate. We conclude that children with acute lymphoblastic leukemia who have prominent bone pain preceding the diagnosis frequently have nearly normal hematologic values and that this feature may contribute to a delay in diagnosis.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 233-237 |
| Number of pages | 5 |
| Journal | The Journal of Pediatrics |
| Volume | 117 |
| Issue number | 2 PART 1 |
| DOIs | |
| State | Published - 1990 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
Cite this
Bone pain as an initial symptom of childhood acute lymphoblastic leukemia : Association with nearly normal hematologic indexes. / Jonsson, Olafur G.; Sartain, Peggy; Ducore, Jonathan M; Buchanan, George R.
In: The Journal of Pediatrics, Vol. 117, No. 2 PART 1, 1990, p. 233-237.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Bone pain as an initial symptom of childhood acute lymphoblastic leukemia
T2 - Association with nearly normal hematologic indexes
AU - Jonsson, Olafur G.
AU - Sartain, Peggy
AU - Ducore, Jonathan M
AU - Buchanan, George R.
PY - 1990
Y1 - 1990
N2 - We reviewed the records of all patients with a diagnosis of ALL made at our center during a 13-year period to determine the relationship between bone pain and the hematologic findings at diagnosis of acute lymphoblastic leukemia. Of 296 eligible patients, 179 (60%) had no bone pain (group 1), 65 (22%) had some bone pain (group 2), and 52 (18%) had prominent bone pain that overshadowed other manifestations of the leukemia (group 3). Statistically significant differences were found between the groups for hemoglobin concentration (p<0.001), leukocyte count (p=0.014), absolute neutrophil count (p=0.002), percentage of circulating blast cells (p=0.009), and platelet count (p<0.001). Children in group 3 had values closer to normal for all these values than those of patients in the other groups. Group 3 patients had symptoms an average of more than 2 weeks longer before diagnosis, and had significantly lower serum uric acid and higher calcium levels than patients in the other groups had. No differences were detected among the groups in age at diagnosis, gender, or survival rate. We conclude that children with acute lymphoblastic leukemia who have prominent bone pain preceding the diagnosis frequently have nearly normal hematologic values and that this feature may contribute to a delay in diagnosis.
AB - We reviewed the records of all patients with a diagnosis of ALL made at our center during a 13-year period to determine the relationship between bone pain and the hematologic findings at diagnosis of acute lymphoblastic leukemia. Of 296 eligible patients, 179 (60%) had no bone pain (group 1), 65 (22%) had some bone pain (group 2), and 52 (18%) had prominent bone pain that overshadowed other manifestations of the leukemia (group 3). Statistically significant differences were found between the groups for hemoglobin concentration (p<0.001), leukocyte count (p=0.014), absolute neutrophil count (p=0.002), percentage of circulating blast cells (p=0.009), and platelet count (p<0.001). Children in group 3 had values closer to normal for all these values than those of patients in the other groups. Group 3 patients had symptoms an average of more than 2 weeks longer before diagnosis, and had significantly lower serum uric acid and higher calcium levels than patients in the other groups had. No differences were detected among the groups in age at diagnosis, gender, or survival rate. We conclude that children with acute lymphoblastic leukemia who have prominent bone pain preceding the diagnosis frequently have nearly normal hematologic values and that this feature may contribute to a delay in diagnosis.
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UR - http://www.scopus.com/inward/citedby.url?scp=0025288662&partnerID=8YFLogxK
U2 - 10.1016/S0022-3476(05)80535-9
DO - 10.1016/S0022-3476(05)80535-9
M3 - Article
C2 - 2380822
AN - SCOPUS:0025288662
VL - 117
SP - 233
EP - 237
JO - Journal of Pediatrics
JF - Journal of Pediatrics
SN - 0022-3476
IS - 2 PART 1
ER -