Case Report

Volume: 5 | Issue: 4 | Published: Apr 23, 2021 | Pages: 122 - 124 | DOI: 10.24911/ejmcr/173-1610872238

The unexpected hematological diagnosis during investigation of back pain: a case report


Authors: Olga Tsiamita , Li Yuan Chan , Abbas Zaidi


Article Info

Authors

Olga Tsiamita

Department of Haematology, Queens Hospital, Rom Valley Way, Romford, United Kingdom

Li Yuan Chan

Department of Haematology, Queens Hospital, Rom Valley Way, Romford, United Kingdom

Abbas Zaidi

Department of Haematology, Queens Hospital, Rom Valley Way, Romford, United Kingdom.

Publication History

Received: January 31, 2021

Revised: March 04, 2021

Accepted: April 06, 2021

Published: April 23, 2021


Abstract


Background: Acute promyelocytic leukemia is a subtype of acute myeloid leukemia most noted for a high rate of cure with prompt treatment and high early mortality if unrecognized, typically presenting with symptoms of bone marrow failure and lifethreatening coagulopathy. Case Presentation: We report the case of a patient who was found to have this unexpected diagnosis during workup of persistent back pain following a fall. In this example, the incidental finding of abnormal bone marrow signal on magnetic resonance imaging prompted a bone marrow biopsy which confirmed the diagnosis. Conclusion: This case highlights the significance and emerging role of imaging techniques in identifying abnormalities in the bone marrow which may provide the initial clues and support the timely diagnosis of hematological malignancies.

Keywords: Acute promyelocytic leukemia, case report, magnetic resonance imaging, green