Presentation
These cases must be classified as AML/Baso or multiphenotypic acute leukemias and often present Phl -chromosomal abnormality. [doi.org]
We postulate that this presentation occurred as a consequence of pathophysiological features of the malignant basophilic blast cells. [ncbi.nlm.nih.gov]
Today in report, Kat Chau dropped some awesome R3 knowledge when she presented the case of a 64 yo veteran who initially presented with chronic cough and medication refill, but on further history and lab review was found to have a new leukocytosis to [ucsfmed.wordpress.com]
Entire Body System
- Soft Tissue Mass
Contrast-enhanced computed tomography scan of orbits showed diffuse bone lysis with periosteal reaction involving skull base, skull vault and bilateral bony orbits with associated soft tissue masses extending intracranially, consistent with marrow infiltrative [ijpmonline.org]
- Irritable Infant
We report an infant with ABL and outline the differentials. This 7-month-old male infant presented with irritability and bilateral proptosis of 3 weeks duration. Examination revealed an irritable infant with anemia and bilateral proptosis. [ijpmonline.org]
- Hypoxemia
We report a 50-year-old male with a history of diabetes who presented with pancytopenia, neutropenia, and worsening hypoxemia, ultimately requiring intubation and transfer to the MICU in March 2013. [jscimedcentral.com]
Respiratoric
- Chronic Cough
Today in report, Kat Chau dropped some awesome R3 knowledge when she presented the case of a 64 yo veteran who initially presented with chronic cough and medication refill, but on further history and lab review was found to have a new leukocytosis to [ucsfmed.wordpress.com]
Musculoskeletal
- Short Arm
Earlier observations have linked bone marrow basophilia either to a deletion of the short arm of chromosome 12 (p11-13), to translocations involving the long arm of chomosome 6 at 6q23 or to the translocation t(6,9); (p23;q34). [ncbi.nlm.nih.gov]
Earlier observations have linked bone marrow basophilia either to a deletion of the short arm of chromosome 12 (p11–13), to translocations involving the long arm of chomosome 6 at 6q23 or to the translocation t(6,9); (p23;q34). [ingentaconnect.com]
It corresponds to shortened chromosome 22 resulting from reciprocal translocation between long arm of chromosome 9 and short arm of chromosome 22, which is designated as t(9;22)(q34;q11). [neoplasm.imedpub.com]
Eyes
- Bilateral Proptosis
This 7-month-old male infant presented with irritability and bilateral proptosis of 3 weeks duration. Examination revealed an irritable infant with anemia and bilateral proptosis. The tip of spleen was palpable. [ijpmonline.org]
Psychiatrical
- Suggestibility
This interpretation is supported by the coagulation studies, which suggested release of heparin from the blast granules. [ncbi.nlm.nih.gov]
The blasts often had basophil-like dark coarse granules, and basophils had characteristic confluent vacuoles merged with the cell membrane suggestive of degranulation (panel B). Blasts were toluidine blue metachromatic but myeloperoxidase −. [bloodjournal.org]
Workup
Serum
- Karyotype Abnormal
Numerous karyotypic abnormalities have been reported in ABL, like normal karyotype, translocation t(X; 6) (p11; q23), monosomy 7 and trisomy 8. [2], [3], [4] Though no cytogenetic abnormality is characteristic of ABL, cytogenetic and molecular studies [ijpmonline.org]
abnormalities,-5—7,3q26 aberrations, t(6;9), 11q23 aberrations Review Questions The correct answers can be found below the references. 1. [lecturio.com]
Treatment
A secondary cytogenetic clonal evolution, i(17q), developed during hydroxyurea treatment and a tertiary clonal evolution, +8, was detected during imatinib treatment. [ncbi.nlm.nih.gov]
Treatment Treatment for ABL depends on the child's age, symptoms, and overall health. These are common treatments: Chemotherapy. This drug-based treatment works by interfering with a cancer cell's ability to keep growing. [essentiahealth.org]
Section: ICD-O-3.1 (2011) Morphological Codes Pages: http://codes.iarc.fr/codegroup/2 National Cancer Institute Section: General Information About Acute Myeloid Leukemia Pages: https://www.cancer.gov/types/leukemia/hp/adult-aml-treatment-pdq [seer.cancer.gov]
Treatment of our patients consisted of supportive treatment in the one with normal karyotype and aggressive chemotherapy in the other patient. Both patients died within one year after diagnosis due to progressive or recurrent leukemia. [ingentaconnect.com]
Prognosis
We report a case of acute basophilic leukemia in a young female to highlight its rarity and poor prognosis. Key words: Acute basophilic leukemia, Poor prognosis. [scopemed.org]
There is no clinically distinguishing features but may be more common in children and young adults and carry a poor prognosis. [en.wikipedia.org]
There is no clinically distinguishing features but may be more common in children and young adults and carry a poor prognosis. [2] References ↑ Liu, P.P.; A. Hajara; C. Wijmengac; F.S. Collins (1995). [ipfs.io]
Chromosomes, Human, X/genetics Female GATA1 Transcription Factor/genetics* Humans In Situ Hybridization, Fluorescence Infant Karyotyping Leukemia, Basophilic, Acute/genetics* Male Mice Mice, Inbred C57BL Oncogene Proteins, Fusion/genetics* Oncogenes/genetics* Prognosis [ncbi.nlm.nih.gov]
It has rapid clinical course, hyperhistamine mia and poor prognosis. We experienced a case of acute basophilic leukemia without preceding chronic myelogenous leukemia. [annlabmed.org]
Etiology
Epidemiology & Etiology of Acute Myeloid Leukemia Higher Prevalence of Acute Myeloid Leukemia in Males Males have more predominance when compared to females; it usually affects individuals above the age of 65 years. [lecturio.com]
Epidemiology
Synopsis Phenotype: cell stem origin basophilic precursor Epidemiology: very rare but might be prominent in infants Clinics: hyperhistaminemia syndrome Cytology major component of undifferentiated blasts minor component of basophilic blasts blasts containing [humpath.com]
Epidemiology Very rare but might be prominent in infants. Four cases of acute basophilic leukemia with t(X;6)(p11;q23) translocation occurring in male infants (< 1 year) have been described. [atlasgeneticsoncology.org]
Symptoms Cutaneous involvement Easy bruising or bleeding Fatigue Fever Hyperhistaminemia Organomegaly Petechiae Shortness of breath Weakness Diagnostic Exams Immunophenotyping Lumbar puncture Peripheral blood smear Progression and Transformation None Epidemiology [seer.cancer.gov]
[…] basophilic lineage; the latter, although not often used for leukemia diagnosis, is especially crucial to differentiate basophilic cells from closely related mast cells ( J Clin Oncol 2011;29:e623 ) Terminology "Basophilic leukemia" is no longer used Epidemiology [pathologyoutlines.com]
Epidemiology The p210 fusion protein is characteristic of CML, occurring in about 95% of the cases and in 20% of Ph+ ALL, in which the p190 fusion protein is more frequent. The p230 is usually associated with chronic neutrophilic leukemia. [neoplasm.imedpub.com]
Pathophysiology
We postulate that this presentation occurred as a consequence of pathophysiological features of the malignant basophilic blast cells. [ncbi.nlm.nih.gov]
Acute Myeloid Leukemia Symptoms Acute Myeloid Leukemia Causes Acute Myeloid Leukemia Diagnosis Acute Myeloid Leukemia Pathophysiology [news-medical.net]
Acute basophilic leukemia Acute panmyelosis with myelofibrosis Myeloid sarcoma Myeloid proliferations related to Down syndrome Transient abnormal myelopoiesis Myeloid leukemia associated with Down syndrome Blastic plasmacytoid dendritic cell neoplasm Pathophysiology [lecturio.com]
Prevention
Get optimal test results with guidance on error detection, correction, and prevention as well as cost-effective test selection. [books.google.com]
Alkaloids preventing microtubule function These are alkaloids derived from plants, and their action consists in blocking cell division by preventing microtubule function. These compounds are not usually used for AML. [omicsonline.org]
They eventually crowd out normal, healthy blood cells and prevent them from being produced. AML can accumulate in the blood stream and organs such as the lymph nodes, brain, liver, kidneys, ovaries, testicles, and skin. [seattlecca.org]
Chemotherapy may be given into the spinal cord area during this stage to prevent the cancer from spreading to the brain or spinal cord. Radiation therapy may also be given. [essentiahealth.org]
It can be prevented by prophylactic hydration and urinary alkalinization. Allopurinol and rasburicase can be used based on the risk factors. Neutropenic enterocolitis: It is to be considered when the absolute neutropenic count is < 500/microL. [lecturio.com]