Frequency of Tumor Lysis Syndrome in Acute Leukemia (original) (raw)
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Tumor lysis syndrome in pediatric acute lymphoblastic leukemia at tertiary care center
Pakistan Journal of Medical Sciences
Objectives: Tumor lysis syndrome (TLS) is common complication of acute lymphoblastic leukemia (ALL). It is characterized by presence of two or more of hyperkalemia, hyperuricemia, hyperphosphatemia and hypocalcemia. TLS may cause acute kidney injury (AKI), arrhythmias and seizures. Our objective was to determine the frequency of TLS and its biochemical abnormalities in children with ALL. Methods: A retrospective study on 91 children, aged 2-13 years with ALL was carried out in Nephrology and Oncology departments of National Institute of Child Health, Karachi from January 2016 to December 2017. Patients already received chemotherapy were excluded. Data including risk categories, immunophenotyping, laboratory parameters like complete blood picture, serum creatinine (SCr), potassium (K), calcium (Ca), phosphorus (P) and uric acid (UA) on day 0,3 and7 after chemotherapy were collected. Data analyzed on SPSS using descriptive statistics. Independent t- test was applied to compare means a...
Clinicopathological Study of Acute Leukemia - A Multiparameter Study
Introduction: Acute leukaemia is major group of haematological malignancies which need timely diagnosis and initiation of treatment at time because in initial stage of disease leukemic cell burden is low. Therefore the chances of achieving complete remission will be highest. Detection of immature leukemic cells in peripheral smear along with presence of clinical signs and symptoms are most important clue for timely diagnosis. The objectives of the present study were to determine the frequency of presenting clinical sign and symptoms and correlate them with laboratory data, morphological features of leukemia and prognostic factors in leukemia patients.
Acute Lymphoblastic Leukemia, Classification, Clinical features and Diagnosis
Dwight's Journal of Music, 2020
Background: Leukemias are classified as lymphoid or myeloid, dependent on the type of stem cell that is affected. In addition, leukemia is classified as chronic or acute. Acute leukemia is a production of bone marrow-derived immature cells (blasts), include solid organs or peripheral blood. The FAB Cooperative Group original classification scheme proposed to divide1 ALL into three subtypes (L1-L3). Currently, the world health organization (WHO), modify FAB classification depending on immunophenotype. Symptoms presence of anemia, splenomegaly, and thrombocytopenia, and those are naturally present at diagnosis, indicating the degree to which leukemic lymphoblasts have replaced the bone marrow and the first mark to an ALL diagnosis is typically an abnormal complete blood count result. Objective: To introduce causes of acute lymphocytic leukemia, recent classification methods, diagnosis, and symptoms and diagnosis. Conclusion: Acute lymphocytic leukemia occurs due to a defect in the bone marrow and is classified into several types. The most important classification by the World Health Organization is depending on immunophenotype. The main symptoms are the increase in white blood cells with anemia and thrombocytopenia.
The Professional Medical Journal
Objectives: The aim of the present study is to evaluate the frequencyof chromosomal abnormalities in childhood acute lymphoblastic leukemia at a tertiarycare hospital of Sindh. Study design: Observation study. Place of study: Isra UniversityHospital, Hyderabad and Oncology Unit Liaquat University of Medical and Health Sciences,Jamshoro. Duration of study: From January 2014 to March 2015. Materials and Methods:Cytogenetic analysis was conducted on peripheral blood and bone marrow samples of 100diagnosed cases of acute lymphoblastic leukemia (ALL). Peripheral blood and bone marrowsamples were collected and putted into sodium heparinized bottles. Cytogenetic analysiswas performed by karyotyping according to the ISCN guidelines for human cytogeneticnomenclature using cytovision-+ system for image analysis. Data was analyzed on statistic8.1 USA and expressed as means, percentage and chi-square with P-value of ≤ 0.05 beingdefined significant. Results: Chromosomal abnormalities were found ...
Clinicopathological Study of Acute Lymphoblastic Leukemia - a Multiparameter Study
Journal of Evidence Based Medicine and Healthcare, 2015
BACKGROUND Acute Lymphoblastic Leukaemia (ALL), a malignancy of lymphoid lineage cells, has excellent prognosis in children. Leukemia is the most prevalent childhood cancer and Acute Lymphoblastic Leukemia (ALL) constitutes 75% of all cases. The most frequent presenting symptoms are fever, weight loss and pallor. Early detection of clinical symptoms positively affects timely diagnosis. AIMS & OBJECTIVES The objectives of the present study were to assess frequency of presenting symptoms, laboratory data and prognostic factors in children with diagnosis of ALL. MATERIALS & METHODS The present study (2014) was performed in the hematology section of Department of Pathology of Gajra Raja Medical College, Gwalior over a period of 12 months from 1st October 2013 to 30th September 2014. This was a prospective study. The blood samples were received from various departments of Jayarogya hospital especially from the Pediatric and Medicine departments. RESULTS Out of the 37 cases diagnosed as Acute Lymphoblastic Leukemia, 25(67.57%) were male and 12(32.43%), were female, (male:female ratio: 2.1:1). 43.35% of patients which comprises highest number of cases belonged to 11-20 years of age group. The most frequent presenting symptoms was fever (83.78%) followed by weakness (70.27%) and loss of appetite (27% while most frequent presenting sign was pallor (86.48%) followed by lymphadenopathy (67.57%) and splenomegaly (48.65%)). Complete blood cell count was abnormal in all of the patients, and pancytopenia was detected in 10.81% of the patients. Of all the patients, 91.89% had abnormal white blood cell (WBC) count at presentation, 10.81% had leucopenia and 80% had leucocytosis. FAB L1 subtype was more common as compared to FAB L2 subtype. CONCLUSION In our study (2014), Acute Lymphoblastic Leukemia was more prevalent in males than in females and more common in childhood than in adult. FAB L1 subtype was more common as compared to FAB L2 subtype.