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Paediatr Child Health. 2007 Sep;12(7):573-4. doi: 10.1093/pch/12.7.573.

Acute lymphoblastic leukemia presenting with gross hematuria.

Paediatrics & child health

Naifain Al Kalbani, Sheila Weitzman, Mohamed Abdelhaleem, Manuel Carcao, Oussama Abla

Affiliations

  1. Division of General Pediatrics.

PMID: 19030428 PMCID: PMC2528785 DOI: 10.1093/pch/12.7.573

Abstract

A case of a six-year-old boy presenting with gross hematuria is reported. Investigations revealed the etiology of the hematuria to be thrombocytopenia in the setting of newly diagnosed acute lymphoblastic leukemia. The diagnosis of leukemia was confirmed by bone marrow examination. The patient's hematuria completely resolved with platelet transfusions. Although thrombocytopenia is a very common presenting feature of acute lymphoblastic leukemia, gross hematuria is exceedingly rare. Thus, thrombocytopenia potentially caused by acute leukemia should be considered in a child presenting with gross hematuria.

Keywords: Hematuria; Leukemia; Thrombocytopenia

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