Avascular necrosis of femoral head as the initial manifestation of CML.

Abstract:

:A 12-year-old female is reported who presented with right hip pain for 6 months. With massive splenohepatomegaly and leukocytosis, CML was suspected and confirmed on bone-marrow examination and cytogenetics. Further investigations confirmed avascular necrosis (AVN) of the right femoral head. CML was treated by hydroxyurea, followed by imatinib. AVN was managed conservatively; patient demonstrated progressive improvement, though a mild limp in the gait was persisting at 22 months. AVN as the initial manifestation of CML is a rarity. Leukostasis is considered to be the pathophysiological mechanism. In view of the rarity, a case is reported, along with compilation of previously reported cases.

journal_name

Pediatr Hematol Oncol

authors

Kumar S,Bansal D,Prakash M,Sharma P

doi

10.3109/08880018.2013.831961

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

568-73

issue

6

eissn

0888-0018

issn

1521-0669

journal_volume

31

pub_type

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