Van Tıp Dergisi (Jul 2018)

Juvenile myelomonocytic leukemia: Rare case

  • Hadi Geylan,
  • Kamuran Karaman,
  • Mecnun Çetin

DOI
https://doi.org/10.5505/vtd.2018.66588
Journal volume & issue
Vol. 25, no. 3
pp. 418 – 420

Abstract

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Juvenile myelomonocytic leukemia (JMML) is a malignant disease characterized by excessive proliferation of monocytic and granulocytic cells resulting in clonal defect of the hematopoietic stem cell, which accounts for about 2% of pediatric leukemia in early childhood. İn nowadays; molecular pathology in 85-90% of cases can be detected. Below we present a 2.5 years old girl who was admitted to our clinic with complaints of rash on the skin and mucositis in the mouth. On the examination of the patient; hepatosplenomegaly with skin petechial rash and laboratory tests; leucocytosis, thrombocytopenia and high levels of HbF were detected. In evaluation of peripheral blood smear and bone marrow aspiration were compatible with JMML. In cytogenetic examinations; PTPN 11 mutation was detected. The natural course of case with JMML is poor.

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