Tumour genesis syndrome: severe hypophosphatemia and hypokalemia may be ominous presenting findings in childhood acute myeloid leukaemia.


:We report a 16-year-old girl who was diagnosed with acute leukaemia and a marked leucocytosis >200 × 109/L. She presented with marked hypophosphatemia, hypokalemia, acute renal failure and acute respiratory failure. These electrolytes disturbances may indicate rapid tumour genesis. These ominous findings required urgent treatment to halt the crises of rapid leukemic cell proliferation. CONCLUSION:Mark hypophosphatemia and hypokalemia may be presenting electrolyte abnormalities in a patient with acute leukaemia, and these may be indicators of aggressive tumour genesis. What is known: • Mild electrolyte disturbances are common in oncology patients • Tumour lysis syndrome is well recognized by paediatriaticians What is new: • Life-threatening hypophosphatemia is an uncommon presentation • These electrolytes disorders may indicate an aggressive tumour genesis process even at presentation and require urgent treatment.


Eur J Pediatr


Chan WK,Chang KO,Lau WH




Has Abstract


2017-08-01 00:00:00














  • Gastritis and peptic ulcer disease in childhood.

    abstract:UNLABELLED:Inflammation of the gastric and duodenal mucosa is the end result of an imbalance between mucosal defensive and aggressive factors. The degree of inflammation and imbalance between defensive and aggressive factors can then result in varying degrees of gastritis and/or frank mucosal ulceration. Gastritis and ...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审


    authors: Blecker U,Gold BD

    更新日期:1999-07-01 00:00:00

  • 15 beta-hydroxylated steroids may be diagnostically misleading in confirming congenital adrenal hyperplasia suspected by a newborn screening programme.

    abstract:UNLABELLED:In a Swiss screening programme for detection of congenital adrenal hyperplasia (CAH), 27 of over 120,000 newborns examined from 1992 to 1994 were further studied because of persistingly high 17 alpha hydroxyprogesterone (17OHP). Out of 27, 11 were later confirmed to have CAH by specific gas chromatography of...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Lange-Kubini K,Zachmann M,Kempken B,Torresani T

    更新日期:1996-11-01 00:00:00

  • Glycogen storage disease type I: pathophysiology of liver adenomas.

    abstract:UNLABELLED:Of the many complications associated with glycogen storage disease type I, hepatic tumours cause great concern because of their malignant potential and the current difficulties in monitoring them. Hepatic adenomas occur in 22%-75% of affected adults, according to the population studied, and from those report...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审


    authors: Lee PJ

    更新日期:2002-10-01 00:00:00

  • Presumptive varicella vaccination is warranted in Greek adolescents lacking a history of disease or household exposure.

    abstract::Current practice favors serotesting adolescents with a negative history of chickenpox rather than offering presumptive vaccination. Recent epidemiologic data from Greece indicate that a high proportion of adolescents (21.5%) are susceptible to chickenpox. We assessed the reliability of negative varicella history in re...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Katsafadou A,Kallergi K,Ferentinos G,Goulioti T,Foustoukou M,Papaevangelou V

    更新日期:2009-01-01 00:00:00

  • Congenital hypothyroidism caused by a novel homozygous mutation in the thyroglobulin gene.

    abstract:UNLABELLED:Congenital hypothyroidism (CH) due to thyroglobulin (TG) deficit is an autosomal recessive disease (OMIM #274700) characterized by hypothyroidism, goiter, low serum TG, and a negative perchlorate discharge test. The aim of this study was to perform the genetic analysis of the TG gene in two sisters born from...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Agretti P,De Marco G,Di Cosmo C,Ferrarini E,Montanelli L,Bagattini B,Vitti P,Tonacchera M

    更新日期:2013-07-01 00:00:00

  • Glucocorticosteroids and growth hormone secretion under physiological conditions and in states of steroid excess.

    abstract::Cortisol and growth hormone (GH) secretion (spontaneous variations at night and the release induced by insulin hypoglycaemia) were investigated in 69 children and adolescents. Statistical analysis of approximately 600 pairs of cortisol and GH values in this study demonstrated that physiological fluctuations of cortiso...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Mühlendahl KE,Weber B,Müller-Hess R,Korth-Schütz S,Helge H

    更新日期:1978-06-20 00:00:00

  • Neurological complications of pandemic influenza A H1N1 2009 infection: European case series and review.

    abstract::Neurological manifestations and outcomes of children with the 2009 H1N1 virus infection have been reported in three American series and from smaller cohorts and case reports worldwide. Of the 83 children admitted between April 2009 and March 2010 with H1N1 virus infection to a tertiary children's hospital in a Europea...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审


    authors: Surana P,Tang S,McDougall M,Tong CY,Menson E,Lim M

    更新日期:2011-08-01 00:00:00

  • Identification of the triploid genome by the C-banding method.

    abstract::We report on cytogenetic studies of a malformed fetus, whose clinical symptoms indicated the diagnosis of triploidy. This was confirmed by chromosome analysis of peripheral lymphocytes of cord blood. Using the C-banding method it was possible to identify the origin of the extra haploid set: marker chromosomes indicate...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Kunze J,Oldigs HD,Tolksdorf M

    更新日期:1976-09-01 00:00:00

  • Control of proven pulmonary and suspected CNS aspergillus infection with itraconazole in a patient with chronic granulomatous disease.

    abstract::An 11-year-old boy with chronic granulomatous disease caused by cytochrome b deficiency developed right upper lung lobe aspergillosis. Intracerebral lesions developed on maximum doses of flucytosine and amphotericin B. Treatment with 16 mg/kg oral itraconazole was followed by a dramatic clinical improvement and almost...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Kloss S,Schuster A,Schroten H,Lamprecht J,Wahn V

    更新日期:1991-05-01 00:00:00

  • Adenovirus respiratory infection in hospitalized children in Hong Kong: serotype-clinical syndrome association and risk factors for lower respiratory tract infection.

    abstract::Lower respiratory tract infections (LRTI) caused by adenovirus can be severe with resultant chronic pulmonary sequelae. More than 50 serotypes have been recognized; however, the exact association of serotype with clinical phenotype is still unclear. There have been no reports on the adenovirus serotype pattern in Hong...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Chau SK,Lee SL,Peiris MJ,Chan KH,Chan E,Wong W,Chiu SS

    更新日期:2014-03-01 00:00:00

  • Aetiological diagnosis of male sex ambiguity: a collaborative study.

    abstract:UNLABELLED:A collaborative study, supported by the Biomed2 Programme of the European Community, was initiated to optimise the aetiological diagnosis in genetic or gonadal males with intersex disorders, a total of 67 patients with external sexual ambiguity, testicular tissue and/or a XY karyotype. In patients with gonad...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,多中心研究,评审


    authors: Morel Y,Rey R,Teinturier C,Nicolino M,Michel-Calemard L,Mowszowicz I,Jaubert F,Fellous M,Chaussain JL,Chatelain P,David M,Nihoul-Fékété C,Forest MG,Josso N

    更新日期:2002-01-01 00:00:00

  • Suffering in children: opinions from parents and health-care professionals.

    abstract:UNLABELLED:Alleviation of suffering is considered to be one of the important goals of medical interventions. Understanding of what constitutes suffering in children admitted to a pediatric intensive care unit (PICU) is lacking. This study aims to assess perceptions by parents, doctors, and nurses of suffering in critic...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: de Weerd W,van Tol D,Albers M,Sauer P,Verkerk M

    更新日期:2015-05-01 00:00:00

  • The triglycerides and glucose index is strongly associated with hepatic steatosis in children with overweight or obesity.

    abstract::Given the worldwide increase prevalence of overweight, obesity, and nonalcoholic fatty liver disease (NAFLD), the objective of this study was to evaluate whether the triglycerides and glucose (TyG) index is associated with hepatic steatosis in children with overweight or obesity. Apparently healthy children aged 5‑17 ...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Simental-Mendía LE,Ortega-Pacheco CJ,García-Guerrero E,Sicsik-Aragón MA,Guerrero-Romero F,Martínez-Aguilar G

    更新日期:2021-01-25 00:00:00

  • Evidence that calcitonin plays a role in the postnatal increase of serum 1 alpha,25-dihydroxyvitamin D.

    abstract::To investigate the changes in the 1 alpha,25-dihydroxyvitamin D [1,25(OH)2D] level and the role of parathyroid hormone (PTH) and calcitonin (CT) during the early neonatal periods, we measured 1,25(OH)2D, 25-hydroxyvitamin D [25(OH)D], PTH specific for mid-regions (mPTH) and urinary cAMP (UcAMP) to evaluate the renal t...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Nishioka T,Yasuda T,Niimi H,Nakajima H

    更新日期:1988-02-01 00:00:00

  • Osteoporosis-pseudoglioma syndrome: clinical, genetic, and treatment-response study of 10 new cases in Greece.

    abstract::Osteoporosis-pseudoglioma syndrome (OPPG) is a rare autosomal-recessive disorder, characterized by severe osteoporosis and early-onset blindness. Loss of function mutations in the gene encoding low-density lipoprotein receptor-related protein 5 (LRP5) have been established as the genetic defect of the disease. We repo...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Papadopoulos I,Bountouvi E,Attilakos A,Gole E,Dinopoulos A,Peppa M,Nikolaidou P,Papadopoulou A

    更新日期:2019-03-01 00:00:00

  • Central precocious puberty and growth hormone deficiency in a boy with Prader-Willi syndrome.

    abstract::In Prader-Willi syndrome (PWS) hypothalamic dysfunction is the cause of hormonal disturbances, such as growth hormone deficiency (GHD), hypogonadism, and delayed or incomplete puberty. Only a few cases of central precocious puberty (CPP) have been reported. We describe an 8.8-year-old PWS boy, with microdeletion of ch...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Crinò A,Di Giorgio G,Schiaffini R,Fierabracci A,Spera S,Maggioni A,Gattinara GC

    更新日期:2008-12-01 00:00:00

  • Development of children with early cytomegalovirus infection.

    abstract::To find out whether cytomegalovirus (CMV) infection during the first months of life influences child development, developmental assessment at the age of 2 years was performed on 116 Finnish children chosen at random in a maternity hospital and followed from birth for the occurrence of CMV infection. Two of the childre...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Granström ML

    更新日期:1979-01-01 00:00:00

  • Low thyroxinaemia occurs in the majority of very preterm newborns.

    abstract:UNLABELLED:Transient hypothyroxinaemia with normal thyroid stimulating hormone (TSH) levels is a well-known condition in preterm neonates and is generally assumed to be a harmless epiphenomenon of prematurity. This assumption is, however, based on studies that included very few neonates with a gestational age (GA) belo...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Rooman RP,Du Caju MV,De Beeck LO,Docx M,Van Reempts P,Van Acker KJ

    更新日期:1996-03-01 00:00:00

  • Therapeutic and collateral effects of 25-hydroxycholecalciferol in vitamin D deficiency.

    abstract::The clinical and biochemical response to 25-hydroxycholecalciferol (25-HCC) and vitamin D3, 150 microgram/day for 20 days has been compared in infants aged 3--18 months with nutritional rickets. The infants were allocated at random to Group I (11 infants) treated with 25HCC and Group II (9 infants) treated with vitami...

    journal_title:European journal of pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Moya M,Beltran J,Colomer J

    更新日期:1977-12-30 00:00:00

  • Severe hypothyroidism after contrast enema in premature infants.

    abstract::Premature newborns are particularly vulnerable to iatrogenic hypothyroidism due to iodine exposure, usually through skin absorption of iodine-containing disinfectants or intravenous administration of iodinated contrast agents. We report here a case of severe iatrogenic hypothyroidism with goiter and cholestasis, disco...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Lombard F,Dalla-Vale F,Veyrac C,Plan O,Cambonie G,Picaud JC

    更新日期:2009-04-01 00:00:00

  • Investigation of accelerated metabolic function in small for gestational age infants.

    abstract::Small for gestational age (SGA) infants are known to develop relatively mild transient hyperbilirubinaemia, especially in comparison with premature infants. This may be interpreted as an index of accelerated maturation of particular vital functions. In the present study 12 SGA infants, 12 appropriate for gestational a...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: von Stockhausen HB,Struve M

    更新日期:1979-11-01 00:00:00

  • The pattern of growth and growth retardation of patients with hypophosphataemic vitamin D-resistant rickets: a longitudinal study.

    abstract::Growth in height of 16 patients (5 boys and 11 girls) with hypophosphataemic rickets (HR) was studied in a longitudinal survey. The data shortly before and during puberty were analysed on the basis of Preece Baines curves, fitted to the original data; for the analysis at the age of 5 years, the original data were used...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Steendijk R,Hauspie RC

    更新日期:1992-06-01 00:00:00

  • The use of ethanol in paediatric formulations in New Zealand.

    abstract:UNLABELLED:Children's right to access safe and effective medicines is recognised globally. Ethanol, used in paediatric liquid formulations as a solvent and preservative, is associated with safety concerns with respect to both acute ingestion and chronic exposure. In addition, families may have cultural or religious val...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Svirskis D,Toh M,Ram S

    更新日期:2013-07-01 00:00:00

  • Retraction Note: Adenosine triphosphate treatment for supraventricular tachycardia in infants.

    abstract::Retraction Note to: Eur J Pediatr (1994) 153:668-671 DOI 10.1007/BF02190689. This article, "Adenosine triphosphate treatment for supraventricular tachycardia in infants", published in the European Journal of Pediatrics (1994) 153/9: 668-671, Springer-Verlag 1994, has been retracted at the request of the Publisher as i...

    journal_title:European journal of pediatrics

    pub_type: 撤回出版物



    更新日期:2015-11-01 00:00:00

  • Children's rights in pediatrics.

    abstract::The United Nations Convention of Children's Rights (UNCRC) introduced in 1989 has generated a global movement for the protection of children's rights and has brought about a paradigm change in how children are perceived. Pediatric healthcare professionals are interacting with children and therefore with children's rig...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审


    authors: Streuli JC,Michel M,Vayena E

    更新日期:2011-01-01 00:00:00

  • Unmasking of latent hypoparathyroidism in a child with partial DiGeorge syndrome by ethylenediaminetetraacetic acid infusion.

    abstract::DiGeorge syndrome is a rare congenital anomaly with a wide range of clinical manifestations. This syndrome is usually associated with hypocalcaemia resulting from primary hypoparathyroidism. We report here a case of an 8-year-old boy with partial DiGeorge syndrome who presented initially with neonatal hypocalcaemia, b...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Hasegawa T,Hasegawa Y,Yokoyama T,Koto S,Asamura S,Tsuchiya Y

    更新日期:1993-04-01 00:00:00

  • Clinical characteristics and therapeutic outcomes of pulmonary arterial hypertension secondary to congenital portosystemic shunts.

    abstract::The aim of this retrospective study was to investigate the clinical characteristics and therapeutic outcomes of pulmonary arterial hypertension (PAH) secondary to congenital portosystemic shunts (CPSS). Thirty-three pediatric patients diagnosed in our institution with CPSS between 2012 and 2019 were enrolled in this s...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Wu J,Lu Y,Zhao W,Shen J,Li F,Zhang H,Chen Q,Fu L

    更新日期:2020-10-03 00:00:00

  • Haemorrhagic diathesis as a possible early sign of hereditary fructose intolerance.

    abstract::An infant girl three weeks of age with the leading symptom of skin haemorrhages is presented. On further investigation, the signs of severe hepatic damage with hypofibrinogenaemia and prothrombin complex impairment, and renal tubular dysfunction were disclosed. All these pathological symptoms, which were reversed on f...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Hosková A,Mrskos A

    更新日期:1977-12-30 00:00:00

  • Familial trisomy 9p and spinal muscular atrophy: clinical, cytogenetic and embryological findings.

    abstract::The pre- and postnatal clinical, cytogenetic and embryological findings in a family suffering from trisomy 9p and spinal muscular atrophy are presented. The clinical picture of the "trisomy 9p" -syndrome is delineated. Concurrence of autosomal aberration and spinal muscular atrophy, probably of the Werdnig-Hoffmann ty...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Tolksdorf M,Kunze J,Gross-Selbeck G,Sperling K,Wegner RD,Wieczorek V,Vogel M

    更新日期:1977-08-23 00:00:00

  • In vivo propionate oxidation as a prognostic indicator in disorders of propionate metabolism.

    abstract::Biochemical markers such as plasma and urinary metabolite concentrations and in vitro enzyme activity are of limited prognostic value in the most common disorders of propionate metabolism, methylmalonic acidaemia (MMA) and propionic acidaemia (PA). In vivo propionate oxidation was compared with conventional prognostic...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章


    authors: Thompson GN,Walter JH,Bresson JL,Bonnefont JP,Saudubray JM,Leonard JV,Halliday D

    更新日期:1990-03-01 00:00:00