Case report A 3 Years Old Boy with Fingers pain

Abstract

          In this case report, a-3-year-old boy was present with fingers pain in both hands. Physical examination found joints swelling, tender and redness in both hands with fever. Lab investigation revealed anemia problem in complete blood count report and x-ray finding found multiple osteolytic lesions at phalange bone, interphalangeal bone and matacarpal bone of both hands, most likely diagnosis is metastatic lesion from other organs. Further investigation was bone marrow aspiration biopsy, the result shown acute lymphoblastic leukemia. Finally patient was referred to pediatric hematologist and treated by chemotherapy and radiation therapy.