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G. BENNETT HUMPHREY, MD, PhD; JUSTIN J. WOLFSON, MD; WILLIAM KRIVIT, MD, PhD
Minneapolis

Am J Dis Child. 1970;120(3):272.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—Chylothorax was associated with hyperlipidemia in a 13-year-old girl in acute leukemic blastic crisis. Although obstructive chylothorax in adults with malignancies^1-3 has been previously noted, no similar cases have been associated with leukemia. The clinical observations and implications form the basis of this case report.

Report of a Case

The diagnosis of acute myelogenous leukemia in a 13-year-old girl was made on the typical basis of Auer's rod positive peripheral blood and bone marrow myeloblasts. Therapy consisted of mercaptopurine, methotrexate, vincristine sulfate, vinblastine sulfate (Velban), cytarabine, daunomycin, and repeated blood transfusions. The medication during the last six weeks was mercaptopurine (2.5 mg/kg) and prednisone (2.0 mg/kg). The patient never had a prolonged remission from any of these medications during the nine months of the leukemic process. During the last two months her weight was stationary. Multiple draining cutaneous abscesses of the lower extremities, respiratory distress, . . . [Full Text PDF of this Article]

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