HM Cheung, GCF Mok, v Lee, MMK Shing, CK Li

Abstract

Acute lymphoblastic leukaemia commonly presents as fever, pallor and lethargy. Lymph nodes, liver and spleen are the common organs involved. This case report describes a rare presentation of B-lineage lymphoblastic leukaemia infiltrating myocardium leading to heart failure. Leukaemia patients with unexplained heart failure should be investigated for cardiac involvement despite absence of peripheral leukaemia blast.

急性淋巴細胞白血病通常表現為發熱，面色蒼白，懶動。累及的臟器多為淋巴結以及肝脾。此病例報告了一例罕見的以累及心肌而導致心力衰竭的B淋巴細胞白血病病例。提示了對於即使沒有外周白血病幼稚細胞存在的白血病病人，當出現無法解釋的心力衰竭時，應考慮並查找是否存在心肌的受累。