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本文报告三例以骨、关节疼痛为首发症状的急性淋巴细胞性白血病,男2例、女1例,年龄分别为三、四、九岁。例一以右膝关节反复疼痛三个月、例二因大关节游走性肿痛伴低热五个月、例三因腰椎骨疼痛两个月先后来我院。三例均经血液学检查确诊,并用强的松、长春新硷、环磷酰胺、阿糖胞苷等治疗2~7个疗疗程后部分(二例)或完全(一例)缓解出院。
This article reports three cases of acute lymphoblastic leukemia with bone and joint pain as the first symptom, including 2 males and 1 females, with the ages of three, four and nine respectively. Cases of repeated pain in the right knee for three months, case two due to swollen joints swelling and pain with fever for five months, three cases of lumbar pain for two months has come to our hospital. All three cases were confirmed by hematology examination and were relieved partly (two cases) or completely (one case) with prednisone, vincristine, cyclophosphamide, cytarabine and other treatments for 2 ~ 7 months after treatment.