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Oral lesions presenting as an early sign of acute leukaemia
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  1. Zacharias Vourexakis
  1. Department of Otolaryngology/Head and Neck Surgery, University Hospital of Geneva, Geneva, Switzerland
  1. Correspondence to Dr Zacharias Vourexakis, zkvourexakis{at}yahoo.com

https://doi.org/10.1136/bcr-2014-205100

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    Description

    A middle-aged patient with no major comorbidity presented to the emergency department with severe odynophagia and painful oral lesions of 3 days’ duration, and pronounced fatigue along with unusual recurrent bruising for almost a month.

    Inspection of the oral cavity (figures 1 and 2) revealed ecchymoses on the hard palate and the floor of the mouth (blue arrows), ulcerations (white arrows) and pallor of the oral mucosa. The work-up included a complete blood count, karyotyping, microscopic examination and molecular biology …

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