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The lesion of the osteo-articular system in the onset of acute leukemia in childhood

https://doi.org/10.21508/1027-4065-2020-65-5-87-92

Abstract

According to different authors, the osteoarticular syndrome is observed in every third patient with acute leukemia. The polymorphism of the clinical manifestations presents a diagnostic difficulty, while the abnormal x-ray findings are not traditional characteristics of patients with leukemia. In some cases, bone manifestations may be the first and only symptom of acute lymphoblastic leukemia, complicating the diagnosis and postponing the correct diagnosis.

The article describes 3 clinical cases of patients with a lesion of the osteo-articular system in the onset of acute leukemia. Despite the current complex laboratory and instrumental research methods, a particular attention should be paid to the difficulties of differential diagnosis between acute leukemia and other lesions of the osteo-articular system.

About the Authors

A. S. Ulanova
Vyzhletsov Аrkhangelsk Regional Children's Clinical Hospital; Northern State Medical University
Russian Federation

Arkhangelsk



N. A. Grigoryeva
Vyzhletsov Аrkhangelsk Regional Children's Clinical Hospital; Northern State Medical University
Russian Federation

Arkhangelsk



I. A. Turabov
Northern State Medical University
Russian Federation

Arkhangelsk



M. Yu. Rykov
Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation


References

1. Rykov M.Yu, Baibarina E.N., Chumakova O.V., Polyakov V.G. Epidemiology of Cancer in Children in the Russian Federation: Analysis of Key Indicators аМ Ways to Overcome the Defects of Statistical Data. Onkopediatriya 2017; 4(3): 159—176. (in Russ.) DOI: 10.15690/onco.v4i3.1747

2. Rykov M.Yu., Turabov I.A. Medical Care for Children with Cancer in the North-West Federal District of the Russian Federation: An Ecological Study. Onkopediatriya 2018; 5(3): 155-163. (in Russ.) DOI: 10.15690/onco.v5i3.1933

3. Rykov M.Yu. Morbidity and mortality rate from malignant tumors in children in the Russian Federation over 2011-2016. Rossiiskii onkologicheskii zhurnal (Russian Journal of Oncology) 2017; 22(6): 322-328. (In Russ..) DOI: 10.18821/1028-9984-2017-22-6-322-328

4. Rykov M.Yu., Mentke-vich G.L. Hemoblastosis in children: difficulties in diagnosis. Rossiyskiy \festnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics) 2017; 62(6): 81-86 (in Russ.) DOI: 10.21508/1027-4065-2017-62-6-81-86

5. Alfaris B., Alshaya O., Alassaf N, Hetaimish B. Skeletal Manifestations of Acute Lymphoblastic Leukemia in Two Pediatric Cases. MOJ Orthop Rheumatol 2017; 7(1): 00258. DOI: 10.15406/mojor.2017.07.00258

6. Jones O.Y., Spencer Ch.H., Bowyer S.L., Dent P.B., Gottlieb B.S., Rabinovich E. A multicenter case-control study on predictive factors distinguishing childhood leukemia from juvenile rheumatoid arthritis. Pediatrics 2006; 117: e840-4. DOI: 10.1542/peds.2005-1515

7. Shaforostova I.I., Remizov A.N., Tereschenko G.V., Myakova N.V. Multifocal bone involvement in a patient with acute lymphoblastic leukemia. Voprosy gematologii/onkologii i immunopatologii v pediat-rii (Pediatric Hematology/Oncology and Immunopatholo-gy) 2015; 14(1): 62-63. (In Russ..) DOI: 10.24287/1726-1708-2015-14-1-62-63

8. Cohan N., Sarikhani S., Moslemi S., Karimi M. Initial Presentation of Acute Lymphoblastic Leukemia with Osteoporosis and Multiple Spontaneous Bone Fractures. Iranian Red Crescent Med J 2011; 13: 52-54.

9. Riccio I., Marcarelli M., Del Regno N., Fusco C., Martino M., Savarese R. et al. Musculoskeletal problems in pediatric acute leukemia. J Pediatr Orthop B 2013; 22(3): 264-269. DOI: 10.1097/BPB.0b013e32835d731c

10. Makitie O., Heikkinen R., Toiviainen-Salo S., Henriksson M., Puuko-Viertomies L.-R., Jahnukainen K. Long-term skeletal consequences of childhood acute lymphoblastic leukemia in adult males: a cohort study. Eur J Endocrinol 2013; 168(2): 281-288. DOI: 10.1530/EJE-12-0702

11. Mostoufi-Moab S., Halton J. Bone Morbidity in Childhood Leukemia: Epidemiology, Mechanisms, Diagnosis, and Treatment. Current Osteoporosis Reports 2014: 12(3): 300-312.

12. Lee W.Y., BaekK.H., RheeE.J., TaeH.J., Oh K.W., KangM.I. et al. Impact of circulating bone- resorbing cytokines on the subsequent bone loss following bone marrow transplantation. Bone Marrow Transplant 2004; 34(1): 89-94.


Review

For citations:


Ulanova A.S., Grigoryeva N.A., Turabov I.A., Rykov M.Yu. The lesion of the osteo-articular system in the onset of acute leukemia in childhood. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2020;65(5):87-92. (In Russ.) https://doi.org/10.21508/1027-4065-2020-65-5-87-92

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ISSN 1027-4065 (Print)
ISSN 2500-2228 (Online)