HYPERCALCEMIA AND OSTEOLYTIC LESION AS PRESENTING FEATURE IN AN ADULT PH POSITIVE ACUTE LYMPHOBLASTIC LEUKEMIA PATIENT MIMICKING MULTIPLE MYELOMA

Dr. Geetha Narayanan*, MD, DM, Dr. Unnikrishnan P., MD, Dr. Bhavya S. Kumar, MBBS

ABSTRACT

Hypercalcemia and multiple osteolytic lesions as presenting manifestations of acute lymphoblastic leukemia (ALL) in adults is very rare. We report the case of a 43 year old man with Ph positive B ALL who presented with hypercalcemia and multiple lytic lesion of the skull mimicking multiple myeloma. He was treated with HYPERCVAD chemotherapy. His hypercalcemia subsided and he achieved remission after induction.

Keywords: B ALL, osteolytic lesion, hypercalcemia.