危及生命的高钙血症作为急性淋巴细胞白血病的首发表现。
Life-threatening Hypercalcemia as the First Manifestation of Acute Lymphoblastic Leukemia.
机构信息
Department of Pediatrics, AIIMS, New Delhi, India.
Department of Radiology, AIIMS, New Delhi, India.
出版信息
Indian Pediatr. 2019 Nov 15;56(11):972-974.
PMID:31729331
Abstract
Hypercalcemia of malignancy, usually reported in adults in advanced stages, is rare in children. A 4-year-old boy presented with intermittent episodes of severe hypercalcemia, which improved with intravenous hydration therapy, furosemide and bisphosphonates as the initial manifestation of occult acute lymphoblastic leukemia. Pediatricians should rule out hematological malignancy in patients with severe hypercalcemia.
摘要
恶性高钙血症，通常在晚期成人中报道，在儿童中罕见。一名 4 岁男孩表现为间歇性严重高钙血症，最初表现为隐匿性急性淋巴细胞白血病，经静脉补液治疗、呋塞米和双膦酸盐治疗后有所改善。儿科医生应在严重高钙血症患者中排除血液恶性肿瘤。
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