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Published in: Journal of Medical Case Reports 1/2007

Open Access 01-12-2007 | Case report

Down syndrome with microgranular variant of acute promyelocytic leukemia in a child: a case report

Authors: Deepali Jain, Tejinder Singh, Prerna Arora

Published in: Journal of Medical Case Reports | Issue 1/2007

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Abstract

Background

Acute promyelocytic leukemia (APL) accounts for less than 10% of pediatric AML. Cases of APL in Down syndrome (DS) have been described in the literature rarely and it is rarer still to find the microgranular variant (M3v) of APL in trisomy 21 patients.

Case presentation

We present a case of a five-year-old female with Down syndrome diagnosed with acute promyelocytic leukemia (APL). She came to our hospital with bleeding manifestations. Blood and bone marrow examination revealed promyelocytes showing a few fine granules and occasional Auer rods. Based on this morphology and cytochemistry, a diagnosis of APL microgranular variant (M3v) was made.

Conclusion

This case report emphasizes the importance of a high index of suspicion in the diagnosis of acute promyelocytic leukemia microgranular variant in Down syndrome.
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Literature
1.
go back to reference Pui CH, Evans WE: Acute lymphoblastic leukemia. N Engl J Med. 1998, 339: 605-615. 10.1056/NEJM199808273390907.CrossRefPubMed Pui CH, Evans WE: Acute lymphoblastic leukemia. N Engl J Med. 1998, 339: 605-615. 10.1056/NEJM199808273390907.CrossRefPubMed
2.
go back to reference Biondi A, Rovelli A, Cantu-Rajnoldi A, Fenu S, Basso G, Luciano A, Rondelli R, Mandelli F, Masera G, Testi AM: Acute promyelocytic leukemia in children: experience of the Italian Pediatric Hematology and Oncology Group (AIEOP). Leukemia. 1994, 8: 1264-1268.PubMed Biondi A, Rovelli A, Cantu-Rajnoldi A, Fenu S, Basso G, Luciano A, Rondelli R, Mandelli F, Masera G, Testi AM: Acute promyelocytic leukemia in children: experience of the Italian Pediatric Hematology and Oncology Group (AIEOP). Leukemia. 1994, 8: 1264-1268.PubMed
3.
go back to reference Lange BJ, Kobrinsky N, Barnard DR, Arthur DC, Buckley JD, Howells WB, Gold S, Sanders J, Neudorf S, Smith FO: Distinctive demography, biology, and outcome of acute myeloid leukemia and myelodysplastic syndrome in children with Down syndrome: Children's Cancer Group Studies 2861 and 2891. Blood. 1998, 91: 608-615.PubMed Lange BJ, Kobrinsky N, Barnard DR, Arthur DC, Buckley JD, Howells WB, Gold S, Sanders J, Neudorf S, Smith FO: Distinctive demography, biology, and outcome of acute myeloid leukemia and myelodysplastic syndrome in children with Down syndrome: Children's Cancer Group Studies 2861 and 2891. Blood. 1998, 91: 608-615.PubMed
4.
go back to reference Spell DW, Velagaleti GV, Jones DV, Velasquez WS: Translocation (15;17) and trisomy 21 in the microgranular variant of acute promyelocytic leukemia. Cancer Genet Cytogenet. 132 (1): 74-6. 10.1016/S0165-4608(01)00531-3. 2002 Jan 1CrossRefPubMed Spell DW, Velagaleti GV, Jones DV, Velasquez WS: Translocation (15;17) and trisomy 21 in the microgranular variant of acute promyelocytic leukemia. Cancer Genet Cytogenet. 132 (1): 74-6. 10.1016/S0165-4608(01)00531-3. 2002 Jan 1CrossRefPubMed
5.
go back to reference Pathology and Genetics of Tumours of Haematopoietic and Lymphoid Tissues. Edited by: Jaffe ES, et al. 2001, WHO Classification Pathology and Genetics of Tumours of Haematopoietic and Lymphoid Tissues. Edited by: Jaffe ES, et al. 2001, WHO Classification
6.
go back to reference Neame PB, Soamboonsrup P, Leber B, Carter RF, Sunisloe L, Patterson W, Orzel A, Bates S, McBride JA: Morphology of acute promyelocytic leukemia with cytogenetic or molecular evidence for the diagnosis: characterization of additional microgranular variants. Am J Hematol. 1997, 56 (3): 131-42. 10.1002/(SICI)1096-8652(199711)56:3<131::AID-AJH1>3.0.CO;2-Z.CrossRefPubMed Neame PB, Soamboonsrup P, Leber B, Carter RF, Sunisloe L, Patterson W, Orzel A, Bates S, McBride JA: Morphology of acute promyelocytic leukemia with cytogenetic or molecular evidence for the diagnosis: characterization of additional microgranular variants. Am J Hematol. 1997, 56 (3): 131-42. 10.1002/(SICI)1096-8652(199711)56:3<131::AID-AJH1>3.0.CO;2-Z.CrossRefPubMed
7.
go back to reference Singal U, Shah-Reddy I, Koppitch F: Trisomy 21 in acute promyelocytic leukemia. Tumori. 73 (4): 403-6. 1987 Aug 31PubMed Singal U, Shah-Reddy I, Koppitch F: Trisomy 21 in acute promyelocytic leukemia. Tumori. 73 (4): 403-6. 1987 Aug 31PubMed
8.
go back to reference Kurkjian C, Patel S, Kamble R, Dunn ST, Kern W, Kharfan-Dabaja MA: Acute promyelocytic leukemia and constitutional trisomy 21. Cancer Genet Cytogenet. 2006, 165 (2): 176-9. 10.1016/j.cancergencyto.2005.08.014.CrossRefPubMed Kurkjian C, Patel S, Kamble R, Dunn ST, Kern W, Kharfan-Dabaja MA: Acute promyelocytic leukemia and constitutional trisomy 21. Cancer Genet Cytogenet. 2006, 165 (2): 176-9. 10.1016/j.cancergencyto.2005.08.014.CrossRefPubMed
Metadata
Title
Down syndrome with microgranular variant of acute promyelocytic leukemia in a child: a case report
Authors
Deepali Jain
Tejinder Singh
Prerna Arora
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2007
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-1-147

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