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Childhood Leukemia Presenting as Sternal Osteomyelitis

The American Journal of Orthopedics. 2007 October;36(10):E148-E150
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Abstract not available. Introduction provided instead.

Musculoskeletal manifestations are the presenting complaint in up to 20% of patients with pediatric leukemia.1 Therefore, orthopedic surgeons often become involved before a formal diagnosis of leukemia has been made. Because of similarities in presentation, many of these patients are initially diagnosed with osteomyelitis, transient synovitis, or arthritis, resulting in a delay in appropriate treatment.

We present a case of a sternal lesion initially diagnosed and treated as osteomyelitis. We hope this case report raises awareness of this important and potentially lethal entity.