J Rheum Dis.  2020 Jan;27(1):73-74. 10.4078/jrd.2020.27.1.73.

A Case of Acute Lymphoblastic Leukemia Presenting as Unilateral Sternoclavicular Joint Arthritis and Mass

• Park EJ
• Hyun CL
• Kim J

• KMID: 2471965
• DOI: http://doi.org/10.4078/jrd.2020.27.1.73

Abstract

No abstract available.

MeSH Terms

Arthritis*
Precursor Cell Lymphoblastic Leukemia-Lymphoma*
Sternoclavicular Joint*

Figure

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  Figure 1 Magnetic resonance imaging demonstrated focal cortical disruption at anterior mid aspect of right distal clavicle and decreased bone marrow signal intensity on T1 image, and right sternoclavicular joint arthritis, which suggested septic arthritis with osteomyelitis or malignancy (A~C, arrows).

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  Figure 2 Bone biopsy of right distal clavicle revealed increased atypical cell infiltration with necrosis, which was consistent with leukemic infiltration (A, H&E stain, ×400, arrows). The bone marrow biopsy showed nearly packed marrow with myelofibrosis (B, H&E stain, ×400, arrowheads).

Reference

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