Case Report Open Access
Volume 3 | Issue 2 | DOI: https://doi.org/10.33696/haematology.3.048

B-cell Acute Lymphoblastic Leukemia with a Normal Platelet Count, Presenting as a Limp in a 2-year-old Child

  • 1Sirimawo Bandaranaike specialized children hospital, Peradeniya, Sri Lanka
  • 2Faculty of Medicine, University of Peradeniya, Sri Lanka
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Corresponding Author

P.M.A.S Senevirathna, ashan.senevirathna@yahoo.com

Received Date: May 31, 2022

Accepted Date: July 14, 2022


B-acute lymphoblastic leukemia (B-ALL) often grants with pancytopenia or bicytopenia, with thrombocytopenia being the most important parameter. The case of a 2-year-old child presented as a limp with bicytopenia on peripheral smear was presented. On bone marrow examination, 75% morphologically lymphoid blasts, block positive for periodic-acid Schiff on cytochemistry were found. The blasts suppressed the erythroid population but not the megakaryocytic population. On flow cytometry, a diagnosis was made as common-ALL-antigen positive B-precursor ALL. To conclude, a bone marrow aspirate is decisive in patients with bi/pancytopenia who present with a normal platelet count.


 B-cell acute lymphocytic leukemia, Normal platelet count, Bicytopenia, Limping, Bone marrow biopsy

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