Hypereosinophilia as the initial sign of B-cell acute lymphoblastic leukemia: case report
Hipereosinofilia como manifestación inicial de leucemia linfoblástica aguda de células B: reporte de un caso
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Introduction: Hypereosinophilia is rarely associated with B-cell lymphoblastic leukemia (B-ALL) and when presented, it relates to diagnostic delays and an ominous prognosis.
Clinical case: A 24-year-old male presents with a month-long history of anemia, associated with B symptoms, and eosinophilia. Initially managed for intermittent rib pain and during the course of treatment, autoimmune and infectious causes were ruled out. The bone marrow analysis shows signs of B-ALL. Normal cytogenetics. Receives an induction hyperCVAD therapy to remission, with adequate control of the disease. Conclusions: This case highlights the atypical and unusual symptoms associated with eosinophilic infiltration as an initial sign of B-ALL. The prognosis in these cases is poor, associated with the biology of the disease, and on many occasions, diagnostic delays.
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- Klion AD. Approach to the patient with suspected hypereosinophilic syndrome. Hematology [Internet]. 2022(1):47-54. Disponible en: https://doi.org/10.1182/hematology.2022000367 DOI: https://doi.org/10.1182/hematology.2022000367
- Hsieh FH. Hypereosinophilic syndrome. Ann Allergy Asthma Immunol [Internet]. 2014;112(6):484-8. Disponible en: https://doi.org/10.1016/j.anai.2014.03.004 DOI: https://doi.org/10.1016/j.anai.2014.03.004
- Crane MM, Chang CM, Kobayashi MG, Weller PF. Incidence of myeloproliferative hypereosinophilic syndrome in the United States and an estimate of all hypereosinophilic syndrome incidence. J Allergy Clin Immunol [Internet]. 2010;126(1):179-81. Disponible en: https://doi.org/10.1016/j.jaci.2010.03.035 DOI: https://doi.org/10.1016/j.jaci.2010.03.035
- Khosravi S, Mousavi-Fatemi K, Ebrahimi P, Barary M, sio TT, Pirzaman AT. B-cell acute lymphoblastic leukemia associated with hypereosinophilia: a case report and brief literature review. SAGE Open Med Case Rep [Internet]. 2024 31;12. Disponible en: https://doi.org/10.1177/2050313X241229592 DOI: https://doi.org/10.1177/2050313X241229592
- Wilson F, Tefferi A. Acute lymphocytic leukemia with eosinophilia: Two case reports and a literature review. Leuk Lymphoma [Internet]. 2005 Jul;46(7):1045-50. Disponible en: https://doi.org/10.1080/10428190500085537 DOI: https://doi.org/10.1080/10428190500085537
- Shomali W, Gotlib J. World Health Organization‐defined eosinophilic disorders: 2022 update on diagnosis, risk stratification, and management. Am J Hematol [Internet]. 2022;97(1):129-48. Disponible en: https://doi.org/10.1002/ajh.26352 DOI: https://doi.org/10.1002/ajh.26352
- Ferruzzi V, Santi E, Gurdo G, Arcioni F, Caniglia M, Esposito S. Acute Lymphoblastic Leukemia with Hypereosinophilia in a Child: Case Report and Literature Review. Int J Environ Res Public Health [Internet]. 2018;15(6):1169. Disponible en: https://doi.org/10.3390/ijerph15061169 DOI: https://doi.org/10.3390/ijerph15061169
- Parasole R, Petruzziello F, De Matteo A, Maisto G, Castelli L, Errico ME, et al. Hypereosinophilia in childhood acute lymphoblastic leukaemia at diagnosis: report of 2 cases and review of the literature. Ital J Pediatr [Internet]. 2014;40(1):36. Disponible en: https://doi.org/10.1186/1824-7288-40-36 DOI: https://doi.org/10.1186/1824-7288-40-36
- Bejerano-Malta F, Ramírez-Pineda S, Cáceres-Paredes J, et al. Leucemia linfoblástica aguda asociada con eosinofilia en paciente escolar. Rev Hematol Mex [Internet] 2017;18(2):85-91. Disponible en: https://revistadehematologia.org.mx/article/leucemia-linfoblastica-aguda-asociada-con-eosinofilia-en-paciente-escolar/
- Rezamand A. Ghorashi Z, Nezami N. Eosinophilic presentation of acute lymphoblastic leukemia. Am J Case Rep [Internet]. 2013;14:143-6. Disponible en: https://doi.org/10.12659/AJCR.883905 DOI: https://doi.org/10.12659/AJCR.883905
