Acute leukaemia (Paediatrics)

Low urgency
-Very severe

Diseases characterised by the uncontrolled proliferation of a particular type of cell that invades the bone marrow, displacing normal cells and gradually spreading to 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 with other cancers, are not limited to a single triggering factor.

There are many patients who are asymptomatic in the early stages. The symptoms they present are those typical of anaemia, such as fatigue, reduced tolerance to physical exertion, pale appearance, a strong tendency to sleepiness, palpitations, shortness of breath and even angina pectoris. Other symptoms may include swollen gums (gingivitis), enlarged spleen and/or liver, enlarged lymph nodes, joint pain, loss of appetite and unexplained weight loss.

The diagnosis is made by medical history, physical examination and blood tests. The diagnosis is confirmed by testing a sample of bone marrow.

Treatment depends on the type of leukaemia and is based on cycles of chemotherapy, with or without radiotherapy, and bone marrow transplantation.

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 38 ºC)
Excessive sudoration
10% weight loss in a week

Self-care

Maintain a balanced diet: increase fruit, vegetable, and white meat consumption and reduce the intake of fatty meals and fritters.
Maintain hydration of 2 litres per day.
Engage in regular physical activity, adapted to age and physical condition, at least 3 times a week.