얼굴마비로 방문하여 높은 delta neutrophil index를 보였고 골수 외 침윤을 동반한 급성골수세포백혈병으로 진단된 4세 여자 환자
A 4-year-old girl presenting with facial palsy, found to have increased delta neutrophil index, and diagnosed with acute myeloid leukemia with extramedullary infiltration
윤서희, 김세희, 이미정, 이호준, 유철주, 김문규,
소속 상세정보
윤서희 ( Yoon Seo-Hee )
연세대학교 의과대학 소아과학교실
김세희 ( Kim Se-Hee )
연세대학교 의과대학 소아과학교실
이미정 ( Lee Mi-Jung )
연세대학교 의과대학 영상의학교실
이호준 ( Lee Ho-Joon )
연세대학교 의과대학 영상의학교실
유철주 ( Lyu Chuhl-Joo )
연세대학교 의과대학 소아과학교실
김문규 ( Kim Moon-Kyu )
연세대학교 의과대학 소아과학교실
KMID : 1037620170040010025
Abstract
Although Bell’s palsy is the most common cause of facial palsy in children, some cases have potentially fatal causes. We report a rare case of isolated facial palsy in a 4-year-old girl whose diagnosis was acute myeloid leukemia with extramedullary infiltration. The findings of laboratory investigations were nonspecific at presentation except that the delta neutrophil index was 34.5% (reference range, 0%-5%). To avoid hasty diagnosis of Bell’s palsy in children with isolated facial palsy, vigilant differential diagnosis and workup are recommended.
키워드
Child; Facial Paralysis; Leukemia; Myeloid; Acute; Magnetic Resonance Imaging; Neutrophils
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