Anaplastic large cell lymphoma: a rare cause of extreme neutrophilia in a child

Authors

  • Gayathri Satish Department of Pediatric Hematology and Oncology, Kanchi Kamakoti CHILDS Trust Hospital, The CHILDS Trust Medical Research Foundation, Chennai, India
  • Arathi Srinivasan Department of Pediatric Hematology and Oncology, Kanchi Kamakoti CHILDS Trust Hospital, The CHILDS Trust Medical Research Foundation, Chennai, India
  • Shruti Irene Varghese Department of Pediatrics, Kanchi Kamakoti CHILDS Trust Hospital, The CHILDS Trust Medical Research Foundation, Chennai, India
  • Ravi Kumar Department of Intensive Care, Kanchi Kamakoti CHILDS Trust Hospital, The CHILDS Trust Medical Research Foundation, Chennai, India
  • Bala Ramachandran Department of Pediatric Intensive Care & Emergency Medicine, Kanchi Kamakoti CHILDS Trust Hospital, The CHILDS Trust Medical Research Foundation, Chennai, India
  • Julius Xavier Scott Department of Pediatric Hematology and Oncology, Kanchi Kamakoti CHILDS Trust Hospital, The CHILDS Trust Medical Research Foundation, Chennai, India
  • Sarala Rajajee Senior Consultant Haematologist, Kanchi Kamakoti CHILDS Trust Hospital, The CHILDS Trust Medical Research Foundation, Chennai, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20160182

Keywords:

Anaplastic large cell lymphoma, Neutrophilia

Abstract

Anaplastic large cell lymphoma (ALCL) in children can present with a broad spectrum of clinical manifestations which apart from nodal and extra nodal disease include paraneoplastic phenomena that can mimic an infection or inflammatory illness leading to delayed diagnosis. The following case report describes a child with prolonged fever, hepatosplenomegaly, polyserositis and extreme neutrophilia masquerading as an infection or inflammatory disorder for long before the definitive diagnosis of ALCL was made. This case highlights the rare paraneoplastic phenomena in ALCL and the heightened need to suspect this disorder when the search for underlying infections and connective tissue disorders are not conclusive.

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Published

2016-12-31