Vasc Spec Int.  2016 Jun;32(2):65-71. 10.5758/vsi.2016.32.2.65.

Recurrent Arterial Thrombosis as a Presenting Feature of a Variant M3-Acute Promyelocytic Leukemia

Affiliations
  • 1Division of Vascular Surgery, Department of Surgery, Maimonides Medical Center, Brooklyn, NY, USA. ARao@maimonidesmed.org
  • 2Division of Pediatric Surgery, Department of Surgery, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TN, USA.
  • 3Division of Hematology and Oncology, Department of Internal Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
  • 4Division of Hematology and Oncology, Yuma Regional Cancer Center, Yuma, AZ, USA.

Abstract

Acute limb ischemia (ALI) is a common vascular emergency. Hematologic malignancies are commonly associated with derangement of normal hemostasis and thrombo-hemorrhagic symptoms during the course of the disease are common. However, ALI as an initial presenting feature of acute leukemia is rare. Due to the rarity of this presentation, there is a scarcity of prospective randomized data to optimally guide the management of these patients. Current knowledge is mainly based on isolated cases. We report our experience managing a patient who presented with ALI and was found to have occult leukemia. A review of all cases with ALI as a presenting feature of acute leukemia is also presented.

Keyword

Acute limb ischemia; Cold leg; Arterial thrombosis; Acute promyelocytic leukemia; Acute myeloid leukemia-M3

MeSH Terms

Emergencies
Extremities
Hematologic Neoplasms
Hemostasis
Humans
Ischemia
Leukemia*
Leukemia, Promyelocytic, Acute
Prospective Studies
Thrombosis*
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