Percorsi clinici
Un percorso troppo breve
TOO EASY TO DIAGNOSE
ANTONIO PULELLA1, ROCCO CAVALIERE1, ANGELA TISCI1, MARCO RABUSIN2
1UOC di Pediatria e Assistenza Neonatale, Ospedale San Tommaso dei Battuti, Portogruaro (Venezia)
2UO di Emato-Oncologia Pediatrica, IRCCS Burlo Garofolo, Trieste
Maggio 2008 - pagg. 319 -321
Abstract
A 10-year-old girl was admitted with a 3-month history of pain in her knee joints. The pain had been occasional, very short, particularly prominent at night, when she woke up and
then fell asleep again. The knee joints were warm, but there was no limpness involved.
Only two times had there been a short-lasted bout of fever. The only two significant test results
were modest anaemia and a remarkable PCR increase. Our first hypotheses were of
growing pains, then acute rheumatic fever and rheumatoid arthritis in progress, and then we ruled them all out. As it was clear later on, the pain hid leukaemia.
Suggerite dall'AI
Classificazione MeSH
Bibliografia
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2. Jones OY, Spencer CH, Bowier SL, et al. A multicenter case-control study on predictive factors distinguishing childhood leukaemia from juvenile rheumatoid arthritis. Pediatrics 2006;117:840-4.
3. Deane PMG, Lerd G, Siegel DM, Baum J. The outcome of children referred to a paediatric rheumatologic clinic with a positive antinuclear antibody test but without an autoimmune disease. Paediatrics 1955;95:892-5.
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5. Del Vecchio L. Bardo, Lanza F, Basso G. Recommended reporting format for flow cytometry diagnosis of acute lymphoblastic leukemia. Hematologica 2004;89:594-8.
2. Jones OY, Spencer CH, Bowier SL, et al. A multicenter case-control study on predictive factors distinguishing childhood leukaemia from juvenile rheumatoid arthritis. Pediatrics 2006;117:840-4.
3. Deane PMG, Lerd G, Siegel DM, Baum J. The outcome of children referred to a paediatric rheumatologic clinic with a positive antinuclear antibody test but without an autoimmune disease. Paediatrics 1955;95:892-5.
4. Cabral DA, Tucker JB. Malignancies in children who initially present with rheumatic complaints. J Pediatr 1999;134:53-7.
5. Del Vecchio L. Bardo, Lanza F, Basso G. Recommended reporting format for flow cytometry diagnosis of acute lymphoblastic leukemia. Hematologica 2004;89:594-8.
Corrispondenza: antoniopulella@hotmail.com