Acute leukemia (Pediatrics - PEDS)

Low urgency
-Very severe

They are diseases that are characterized by the uncontrolled proliferation of a certain type of cells that invade the bone marrow, displacing the normal cells and, progressively, invading also the rest of the body. The term "acute" defines both the rapid onset of the disease and the immaturity of the cells.

The causes of this disease, as in other cancerous processes, are not restricted to one particular triggering factor.

There are many patients who are asymptomatic in the initial stages. The symptoms that they present are those typical of anemia, such as tiredness, less tolerance to physical exertion, pale appearance, great tendency to drowsiness, palpitations, respiratory failure and even angina. Other possible symptoms are swelling of the gums (gingivitis), enlargement of the spleen and/or liver, enlargement of lymph nodes, joint pains, loss of appetite and unexplained weight loss.

The diagnosis is made through medical questioning, physical examination and blood tests. The diagnosis will be definitive with tests of a bone marrow sample.

The treatment depends on the type of leukemia and is based on the administration of chemotherapy cycles combined with or without radiation therapy and bone marrow transplant.

Bibliographic references
  1. Charles A Schiffer, MD, Sandeep Gurbuxani, MBBS, PhD. Clinical manifestations, pathologic features, and diagnosis of acute myeloid leukemia. Uptodate. Jun 07, 2017.
  2. Siegel RL, Miller KD, Jemal A. Cancer Statistics, 2017. CA Cancer J Clin 2017; 67:7.
  3. Smith A, Howell D, Patmore R, et al. Incidence of haematological malignancy by sub-type: a report from the Haematological Malignancy Research Network. Br J Cancer 2011; 105:1684.
  4. Sant M, Allemani C, Tereanu C, et al. Incidence of hematologic malignancies in Europe by morphologic subtype: results of the HAEMACARE project. Blood 2010; 116:3724.
  5. Guido Marcucci, Clara D. Bloomfield. Leucemia mieloide aguda. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición. 678:687.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Superficial bruising on the skin


    Bone pain


    Paleness


    Tiredness / fatigue


    Nosebleed

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
Excessive sweating
10% weight loss in one week

Self-care

Eat a balanced diet: increase consumption of fruits, vegetables, and white meats, and reduce consumption of fatty and fried foods.
Maintain a fluid intake of 6 - 8 cups per day.
Get regular physical activity at least 3 times a week that is appropriate for your age and physical condition.