[Rinshō ketsueki] The Japanese journal of clinical hematology
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Review Case Reports
[Pediatric acute lymphoblastic leukemia initially presenting with bone marrow necrosis].
We report on a case of pediatric acute lymphoblastic leukemia presenting with massive bone marrow necrosis. A 4-year-old boy complained of fever and leg pain. ⋯ The patient was treated with standard chemotherapy and was successfully induced to complete remission. Patients with massive bone marrow necrosis should undergo bone marrow examination repeatedly to make the correct diagnosis.