Abstract
A 2.5 years old boy presented with fever, intermittent small joint arthritis of hands and feet, bilateral nephromegaly with normal hemogram and uric acid level. Bone marrow aspiration revealed pre-B acute lymphoblastic leukemia without leukemic infiltration of kidneys. Leukemia should be suspected in any patient with arthritis and nephromegaly.
Highlights
Acute lymphoblastic leukemia (ALL) is a common disease and occasionally presents with rare features
A 2.5-year-old boy presented with fever, intermittent small joint arthritis of hands and feet, bilateral nephromegaly with normal hemogram and uric acid level
Hereby we report such a case with small joint arthritis and nephromegaly as an initial manifestation of ALL
Summary
Acute lymphoblastic leukemia (ALL) is a common disease and occasionally presents with rare features. Bilateral kidney enlargement and intermittent small joint arthritis is extremely rare and this combination has never been described in literature till date.
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