None. Dear Editor, Bone pain can occur in leukemia patients when the bone marrow expands from the accumulation of abnormal white blood cells and may manifest as a sharp pain or a dull pain, depending on the location. The long bones of the legs and arms are the most common location to experience this pain.
An overcrowding of cancerous, leukaemia cells in the bone marrow can also cause anaemia by preventing the bone marrow from efficiently producing red blood cells. A deficiency of red blood cells means there is less oxygen being carried muscles around the body, causing muscle cramps and aches.
Leukemic arthritis (LA) is an uncommon complication of both acute and chronic leukemias. LA occurs in 12% to 65% of childhood leukemia cases and 4% to 13% of adult leukemia cases. Involved joints usually are warm, swollen, and tender. This arthritis often is pauciarticular and preferentially involves large joints.
Common leukemia signs and symptoms include: Fever or chills. Persistent fatigue, weakness. Frequent or severe infections.
Acute lymphoblastic leukemia (ALL) may initially present with arthritis as part of a prodromal stage lasting for weeks or even months, without typical signs of leukemia. Thus, ALL may be misdiagnosed as juvenile idiopathic arthritis (JIA), leading to a delay in proper treatment [1].
Some signs of leukemia, like night sweats, fever, fatigue and achiness, resemble flu-like symptoms. Unlike symptoms of the flu, which generally subside as patients get better, leukemia symptoms generally last longer than two weeks, and may include sudden weight loss, bone and joint pain and easy bleeding or bruising.
Cancer that occurs near or in a joint, such as bone cancer and cancer that spreads to the bone, can cause joint pain. Lung cancer, breast cancer, prostate cancer, and multiple myeloma are more likely to involve and spread to the bone. Leukemia can also cause cancer cells to cluster in the joints.
Uric acid is one of the chemicals released by the dying cancer cells. Very high levels of uric acid and other chemicals can cause severe damage to the kidneys and heart. If untreated, TLS can lead to heart arrhythmias, seizures, loss of muscle control, acute kidney failure and even death.
Bone and joint pain are seen as presenting symptoms in 25% of patients with acute leukemia, but generalized osteopenia and vertebral complications are less common. Back pain due to vertebral changes as an early feature has been infrequently reported.
The white cells in the blood grow very quickly, over a matter of days to weeks. Sometimes a patient with acute leukemia has no symptoms or has normal blood work even a few weeks or months before the diagnosis.
Too many abnormal white blood cells collecting in the bones, joints or lymph nodes may cause pain and swelling.
People often feel ill quite quickly. Most symptoms of acute leukaemia are caused by leukaemia cells filling the bone marrow. This means healthy blood cells do not move into the blood as normal.
Doctors may find chronic leukemia in a routine blood test, before symptoms begin. If this happens, or if you have signs or symptoms that suggest leukemia, you may undergo the following diagnostic exams: Physical exam.
Typical leukemia bone pain is felt in the long bones of the body – commonly the arms or legs, though it can be felt in other areas, such as the sternum (chest), back, or pelvis. It is often hard for patients to describe since it differs from any type of pain they have had before.
The nature of the discomfort can vary; some patients report sharp pain while others liken it to a dull, continuous ache. What bones hurt with leukemia? Bone pain symptoms tend to develop in areas of the body with bones that contain a large amount of bone marrow, such as the: Breastbone (sternum)
Sudden pain in all the joints can be a symptom of several conditions, including infections, gout, ME/CFS, and some autoimmune conditions. It can also be an indication of complications after an illness, such as post-viral syndrome or reactive arthritis.
When is a patient tested for leukemia? "A patient may be tested for leukemia if he or she has unexplained weight loss, night sweats or fatigue, or if he or she bruises or bleeds easily," Dr. Siddon says. "Sometimes routine blood work shows an unexplained elevated number of white blood cells."
Your doctor will conduct a complete blood count (CBC) to determine if you have leukemia. This test may reveal if you have leukemic cells. Abnormal levels of white blood cells and abnormally low red blood cell or platelet counts can also indicate leukemia.
Myelodysplastic syndrome refers to a group of related disorders in which abnormal blood-forming cells develop in the bone marrow. At first, these cells interfere with the production of normal blood cells. Later, these cells may become cancerous, turning into a form of leukemia .
Autoimmune cytopenias (AIC) affect 4–7% of patients with CLL and mainly consist of autoimmune hemolytic anemia and immune thrombocytopenia. Although less common, non-hematological autoimmune manifestations have also been reported.
Abdominal swelling
As leukemia cells multiply, they may start to build up in the spleen and the liver. The presence of excess cells can cause these organs to enlarge. As a result, a person may experience feelings of abdominal fullness or swelling.