Goodwin Joshua, Das Bijon
Dalhousie University, Department of Emergency Medicine, Halifax, Nova Scotia.
Clin Pract Cases Emerg Med. 2019 Jan 29;3(1):59-61. doi: 10.5811/cpcem.2019.1.40699. eCollection 2019 Feb.
A 23-year-old man with acute lymphoblastic leukemia presented to the emergency department without any history of constitutional symptoms (fatigue, anorexia, or weight loss), dyspnea, bruising, or bleeding. Presentation of acute leukemia solely as musculoskeletal pathology is common in pediatric populations but rare among adult patients. Recognizing this presentation of acute leukemia in adult patients could help prevent delayed diagnoses.
一名23岁的急性淋巴细胞白血病男性患者前往急诊科就诊，他没有任何全身症状（疲劳、厌食或体重减轻）、呼吸困难、瘀伤或出血的病史。急性白血病仅表现为肌肉骨骼病变在儿科人群中很常见，但在成年患者中很少见。认识到成年患者急性白血病的这种表现有助于防止诊断延迟。
