A young adult patient with Philadelphia positive acute lymphoblastic leukemia presenting with extreme hyperleukocytosis

Key Clinical Message Extreme hyperleukocytosis (Leukocyte count >200 × 109/L) in an adolescent young adult (AYA) patient with B‐ALL could result in mild symptoms of leukostasis. Hyperleukocytosis requires prompt initiation of therapy with adequate hydration, cytoreduction and prevention of tumor...

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Main Authors: Gulten Tikit, Elif Yucesu, Aliye Serpil Sarıfakıoglu, Imdat Dilek, Sule Mine Bakanay
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.9512
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author Gulten Tikit
Elif Yucesu
Aliye Serpil Sarıfakıoglu
Imdat Dilek
Sule Mine Bakanay
author_facet Gulten Tikit
Elif Yucesu
Aliye Serpil Sarıfakıoglu
Imdat Dilek
Sule Mine Bakanay
author_sort Gulten Tikit
collection DOAJ
description Key Clinical Message Extreme hyperleukocytosis (Leukocyte count >200 × 109/L) in an adolescent young adult (AYA) patient with B‐ALL could result in mild symptoms of leukostasis. Hyperleukocytosis requires prompt initiation of therapy with adequate hydration, cytoreduction and prevention of tumor lysis. Ph + B‐ALL may present with extreme hyperleukocytosis and may be resistant to initial pre‐phase therapy. In such cases, leukocytapheresis is beneficial in reducing the leukocyte count as well as controlling the symptoms.
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id doaj-art-22c0bde7ad724cff8057f1c0dffd3790
institution Kabale University
issn 2050-0904
language English
publishDate 2025-01-01
publisher Wiley
record_format Article
series Clinical Case Reports
spelling doaj-art-22c0bde7ad724cff8057f1c0dffd37902025-01-24T05:08:45ZengWileyClinical Case Reports2050-09042025-01-01131n/an/a10.1002/ccr3.9512A young adult patient with Philadelphia positive acute lymphoblastic leukemia presenting with extreme hyperleukocytosisGulten Tikit0Elif Yucesu1Aliye Serpil Sarıfakıoglu2Imdat Dilek3Sule Mine Bakanay4Department of Hematology, Ankara Yıldırım Beyazıt University Faculty of Medicine Ankara Bilkent City Hospital Ankara TurkeyAnkara Bilkent City Hospital Hematology Clinics Ankara TurkeyAnkara Bilkent City Hospital Hematology Clinics Ankara TurkeyDepartment of Hematology, Ankara Yıldırım Beyazıt University Faculty of Medicine Ankara Bilkent City Hospital Ankara TurkeyDepartment of Hematology, Ankara Yıldırım Beyazıt University Faculty of Medicine Ankara Bilkent City Hospital Ankara TurkeyKey Clinical Message Extreme hyperleukocytosis (Leukocyte count >200 × 109/L) in an adolescent young adult (AYA) patient with B‐ALL could result in mild symptoms of leukostasis. Hyperleukocytosis requires prompt initiation of therapy with adequate hydration, cytoreduction and prevention of tumor lysis. Ph + B‐ALL may present with extreme hyperleukocytosis and may be resistant to initial pre‐phase therapy. In such cases, leukocytapheresis is beneficial in reducing the leukocyte count as well as controlling the symptoms.https://doi.org/10.1002/ccr3.9512acute lymphoblastic leukemia (ALL)case reporthyperleukocytosisleukocytapheresisleukostasisPhiladelphia (Ph+)
spellingShingle Gulten Tikit
Elif Yucesu
Aliye Serpil Sarıfakıoglu
Imdat Dilek
Sule Mine Bakanay
A young adult patient with Philadelphia positive acute lymphoblastic leukemia presenting with extreme hyperleukocytosis
Clinical Case Reports
acute lymphoblastic leukemia (ALL)
case report
hyperleukocytosis
leukocytapheresis
leukostasis
Philadelphia (Ph+)
title A young adult patient with Philadelphia positive acute lymphoblastic leukemia presenting with extreme hyperleukocytosis
title_full A young adult patient with Philadelphia positive acute lymphoblastic leukemia presenting with extreme hyperleukocytosis
title_fullStr A young adult patient with Philadelphia positive acute lymphoblastic leukemia presenting with extreme hyperleukocytosis
title_full_unstemmed A young adult patient with Philadelphia positive acute lymphoblastic leukemia presenting with extreme hyperleukocytosis
title_short A young adult patient with Philadelphia positive acute lymphoblastic leukemia presenting with extreme hyperleukocytosis
title_sort young adult patient with philadelphia positive acute lymphoblastic leukemia presenting with extreme hyperleukocytosis
topic acute lymphoblastic leukemia (ALL)
case report
hyperleukocytosis
leukocytapheresis
leukostasis
Philadelphia (Ph+)
url https://doi.org/10.1002/ccr3.9512
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