A 4-year-old girl presenting with facial palsy, found to have increased delta neutrophil index, and diagnosed with acute myeloid leukemia with extramedullary infiltration.
- Author:
Seo Hee YOON
1
;
Se Hee KIM
;
Mi Jung LEE
;
Ho Joon LEE
;
Chuhl Joo LYU
;
Moon Kyu KIM
Author Information
- Publication Type:Case Report
- Keywords: Child; Facial Paralysis; Leukemia, Myeloid, Acute; Magnetic Resonance Imaging; Neutrophils
- MeSH: Bell Palsy; Child; Child, Preschool*; Diagnosis; Diagnosis, Differential; Facial Paralysis*; Female*; Humans; Leukemia, Myeloid, Acute*; Magnetic Resonance Imaging; Neutrophils*
- From:Pediatric Emergency Medicine Journal 2017;4(1):25-28
- CountryRepublic of Korea
- Language:Korean
- Abstract: Although Bell's palsy is the most common cause of facial palsy in children, some cases have potentially fatal causes. We report a rare case of isolated facial palsy in a 4-year-old girl whose diagnosis was acute myeloid leukemia with extramedullary infiltration. The findings of laboratory investigations were nonspecific at presentation except that the delta neutrophil index was 34.5% (reference range, 0%–5%). To avoid hasty diagnosis of Bell's palsy in children with isolated facial palsy, vigilant differential diagnosis and workup are recommended.
