Acute Leukemia Flashcards
1
Q
Acute leukemia definition
A
Abnormal accumulation of blast cells in the blood marrow and (usually) in the peripheral blood
2
Q
Significance
A
May be a hematologic urgency (hyperviscosity, leukostasis, sepsis, DIC)
Usually fatal within months without chemo
3
Q
Causes
A
Idiopathic Secondary: MDS Drugs, chemicals: benzene, chemo Ionizing radiation: incidence 10x Viruses: HTLV: T-ALL EBV: Burkitt lymphoma, Hodgkin HHV-8: B-cell HCV: B-cell
Bacteria: H. pylori
Malaria: Burkitt
Down’s, Fanconi
4
Q
Acute leukemia characterized
A
ALL: Children, 80% of childhood leukemia
More than 85% curable
AML: mainly adults, 80% adult leukemia
5
Q
Clinical:
A
Symtoms due to Bone marrow failure Tissue infiltration Leukostasis DIC