Case Report
 
Frank hematuria as sole manifestation of acute myeloid leukemia: A case report
ML Patel1, Rekha Sachan2, Apul Goel3
1MD (Medicine), Assistant Professor, Department of Medicine, CSM Medical University, Lucknow.
2MS (Obs & Gynae), Associate Professor, Department of Obstetrics and Gynaecology, CSM Medical University, Lucknow.
3MS, MCh (Urology), Professor, Department of Urology, CSM Medical University, Lucknow.

doi: 10.5348/ijcri-2013-10-383-CR-12

Address correspondence to:
Dr. ML Patel
MD, Assistant Professor
Department of Medicine, CSM Medical University
Lucknow-226003, Lucknow-226003
India
Phone: +919839007000
Email: patel.ml66@gmail.com

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How to cite this article:
ML Patel, Sachan R, Goel A. Frank hematuria as sole manifestation of acute myeloid leukemia: A case report. International Journal of Case Reports and Images 2013;4(10):575–577.


Abstract
Introduction: Unexplained hematuria may be presenting feature of various systemic illnesses such as coagulation disorder, anticoagulation therapy, leukemia, disseminated intravascular coagulation and multiorgan dysfunction. Bleeding is a common presenting feature of acute leukemia. This may occur in any mucosal surface of body.
Case Report: A 52-year-old male presented with complaints of low grade fever, and gross hematuria for last three days. He was diagnosed as a case of acute myeloid leukemia on the basis of bone marrow aspiration and cytochemistry.
Conclusion: Presentation of acute leukemia with gross hematuria is uncommon. Gross hematuria as the sole presenting feature in such cases is unusual and only few cases have been described in literature.

Keywords: Frank hematuria, Acute myeloid leukemia, Chemotherapy, Cystoscopy.


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Author Contributions
ML Patel – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rekha Sachan – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Apul Goel – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© ML Patel et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)