Unilateral parotid gland swelling as the sole presenting symptom of acute lymphoblastic leukaemia in children

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• 作者：Yatiee Swany Lahuri^a ; ^{dryatiee@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Irfan Mohamad^a ; Mohd Iszuari Md Ismail^b ; Hasmah Hashim^c ; Hasleani Ibrahim^c
• 关键词：Parotid gland ; Acute lymphoblastic leukaemia ; Acute myeloid leukaemia
• 刊名：Egyptian Journal of Ear, Nose, Throat and Allied Sciences
• 出版年：2015
• 出版时间：November 2015
• 年：2015
• 卷：16
• 期：3
• 页码：279-282
• 全文大小：1607 K

文摘

Acute lymphoblastic leukaemia (ALL) in infants below 1 year of age contributed 2.5–5% of childhood ALL incidence. Children with ALL commonly presented with fever, bruising, mucosal bleeding, bone pain, pallor, hepatosplenomegaly, and lymphadenopathy. Common extra medullary leukaemic infiltration has also been reported at diagnosis of ALL to sites such as the liver, spleen, lymph nodes, brain, testes and even nephromegaly. However ALL presented with parotid infiltration is exceedingly rare. We herein present a case of unilateral parotid enlargement in a child with newly diagnosed ALL. This unusual presentation focuses on the importance of considering ALL in the differential diagnosis of parotid enlargement especially when associated with abnormal blood counts.