伪装成急性桃体炎的T细胞急性淋巴细胞白血病:一个罕见的病例报告
Kuganathan Ramasamy1,2, Davina Stasia Teo1, Sai Guan Lum2
1Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Shah Alam, Selangor, Malaysia.
概括
急性桃体炎可以掩盖像T细胞急性淋巴细胞白血病 (T-ALL) 这样的严重疾病. 识别不寻常的症状对于早期诊断至关重要,并防止延迟治疗这种罕见但严重的血液性恶性瘤.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 喉痛是常见的临床投诉,通常表明急性桃体炎.
- 急性桃体炎通常涉及症状治疗或细菌感染的抗生素.
- 然而,急性桃体炎可以掩盖包括白喉,单核病和恶性瘤在内的严重疾病.
研究的目的:
- 报告一个T细胞急性淋巴细胞白血病 (T-ALL) 病例,呈现为不解决的急性桃体炎.
- 为了强调在常见症状中识别不寻常的迹象的重要性,如喉疼痛.
- 强调需要对表现为桃体炎的血液性恶性瘤的认识,以防止诊断延迟.
主要方法:
- 一个年轻的成年人患有持续的急性排泄性桃体炎的案例介绍.
- 临床观察和识别非典型的警报特征.
- 诊断工作,包括进一步的调查导致T-ALL.的识别.
主要成果:
- 在一个年轻的成年人中确诊T细胞急性淋巴细胞白血病 (T-ALL).
- 患者最初呈现出与急性排泄性桃体炎一致的症状.
- 不寻常的令人担忧的特征促使进一步调查,揭示了潜在的血液恶性瘤.
结论:
- 血液性恶性瘤,如急性白血病,可以不典型地呈现为急性桃体炎.
- 警红旗症状在常见的投诉,如喉痛是必不可少的.
- 早期识别T-ALL表现为桃体炎至关重要,以避免延迟诊断和治疗.
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