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Deep Spontaneous Molecular Remission In A Patient With Congenital Acute Myeloid Leukemia Expressing A Novel Moz-p300 Fusion Transcripatient

Ikawa et al., 2018Leukemia

Ikawa, Y., Nishimura, R., Maeba, H., Fujiki, T., Kuroda, R., Noguchi, K., Fukuda, M., Mase, S., Araki, R., Mitani, Y., Sato, T., Terui, K., Ito, E., Kitabayashi, I., & Yachie, A. (2018). Deep spontaneous molecular remission in a patient with congenital acute myeloid leukemia expressing a novel MOZ-p300 fusion transcripatient. Leukemia & lymphoma, 59(10), 2497–2499. https://doi.org/10.1080/10428194.2018.1434885

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Case Details

Disease Location

Skin

Personal Characteristics

Newborn girl

Clinical Characteristics

Presented with multiple skin nodules 1day after birth. Peripheral blood analysis showed a white blood cell count of 54.93x10^9/l with 50% blasts. Bone marrow aspiration revealed 44% blast- like immature monocytic cells. Surface marker analysis showed that leukemic cells expressed cd11b, CD13, and CD33, and a diagnosis of acute myeloid leukemia (fab m5b) was made. A skin biopsy revealed a diffuse dermal infiltration by leukemic cells that had the same phenotype as the blasts in the bone marrow.

Remission Characteristics

The skin nodules spontaneously regressed gradually, and the patient was in good general condition. The patient achieved complete remission by 3 months of age.

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed