Acute Erythroblastic Leukemia: Causes, Symptoms, and Treatments

Causes and Symptoms of Acute Erythroblastic Leukemia

What is an acute erythroblastic leukemia?

The acute erythroblastic leukemia, which is also called erythremic myelosis, DiGuglielmo syndrome, or erythroleukemia, is a disease that is caused by the uncontrollable proliferation of immature erythrocytes or red blood cells.

Acute erythroblastic leukemia, a variant of acute myelocytic leukemia, originates in the blood and in the bone marrow. In this form of leukemia, a large number of abnormal, immature red blood cells are produced. The advanced phase is also called the blast crisis. At this stage, over a half of the cells in the bone marrow are immature malignant cells (also called blast cells or promelocytes).

Acute Erythroblastic Leukemia: Causes and Symptoms

The causes of acute erythroblastic leukemia are largely unknown. However, acute erythroblastic leukemia constitutes 10 to 20 per cent of leukemias secondary to radiation alkylator therapy, or overexposure to benzene.

Patients with this type of leukemia have less than the normal amount of healthy red blood cells and platelets, which results in insufficient amounts of oxygen being carried through the body. This condition is called anemia, and causes patients to experience severe weakness and tiredness. Patients may have less than the normal number of white blood cells as well. Other symptoms include fever, chills, loss of appetite and weight, easy bleeding or bruising (due to lower than normal platelet levels), bone or joint pain, headaches, vomiting, and confusion. In addition, patients with leukemia may have hepatosplenomegaly, an enlargement of the liver and spleen. Enlargement of these organs is noticed as a fullness or swelling in the abdomen, and can be felt by a doctor during a physical examination. The occurrence of Sweet's syndrome, a rare skin disorder accompanied by fever, inflammation of the joints (arthritis), and the sudden onset of a rash, has also been associated with acute erythroblastic leukemia.

Treatment of Acute Erythroblastic Leukemia

Treatment for acute eryhtroblastic leukemia depends on the features of the cancer cells present and on the extent of the disease, as well as on the age of the patient, his symptoms, and general health condition. This disease can have an indolent course and may only require observation in the early stages. The treatment strategy is based on chemotherapy and in some patients, bone marrow or cell transplantations are indicated as well. Chemotherapy is usually administered in combinations of two or more drugs. Post-remission therapy includes maintenance chemotherapy for most patients.

Post a Comment

Previous Post Next Post