$Unique_ID{PAR00118} $Pretitle{} $Title{Medical Advice: Leukemia} $Subtitle{} $Author{ Editors of Consumer Guide Chasnoff, Ira J} $Subject{Leukemia pale Paleness weak weakness fatigue tired Spontaneous bruising bruise bruises Red swollen bleeding gums fever Swollen lymph nodes Bone pain nosebleed nosebleeds urine Blood Bloody stool Enlarged spleen liver Enlargement white blood cells cancer cancers malignant cancerous bone marrow mononucleosis herpes simplex mouth infections infection vitamin C deficiency deficiencies rheumatic fevers rheumatoid arthritis sickle cell anemia anticancer drug drugs medication medications Pediatric oncologist oncologists} $Log{} Your Child: A Medical Guide Leukemia Quick Reference SYMPTOMS - Paleness, weakness, or fatigue - Spontaneous bruising - Red, swollen, or bleeding gums - Persistent low-grade fever - Swollen lymph nodes - Bone pain - Frequent heavy nosebleeds - Blood in the urine or stool - Enlarged spleen or liver HOME CARE - Treatment for leukemia must always be regulated by a doctor. PRECAUTION - Many common diseases can imitate leukemia. Do not assume that a child has leukemia because he or she has one or more of the symptoms. Have your doctor examine the child to make a diagnosis. Leukemia is cancer of the white blood cells. Although it is rare, leukemia is one of the four types of cancer most frequently seen in children. It can afflict children at any age, but most frequently occurs between the ages of three and four years. The disease can progress slowly or rapidly. About 25 percent of leukemia cases are diagnosed during a routine physical examination before the appearance of any symptoms of the disease. SIGNS AND SYMPTOMS Typical symptoms of leukemia include anemia, indicated by paleness, weakness, or fatigue; bruises that appear on the body for no apparent reason; swollen, red, and bleeding gums; a low-grade fever (101 degrees_F); swelling of the lymph nodes (although the nodes are neither red nor painful); bone pain; frequent, heavy nosebleeds; and the appearance of blood in the child's urine or stool. It is important to remember that symptoms similar to those of leukemia can also occur in a child suffering from some quite different (or even minor) disorder. Doctors may suspect leukemia when the typical signs and symptoms are accompanied by an enlarged spleen or liver. Suspicion is heightened when blood studies reveal malignant (cancerous) white blood cells. The diagnosis is confirmed by an examination of the bone marrow. HOME CARE No home care is advised until a doctor has diagnosed the condition. Leukemia is a serious disease that always requires close medical attention. PRECAUTION - Leukemia is uncommon. Many illnesses imitate leukemia, however, and these illnesses are not uncommon; among them are infectious mononucleosis, herpes simplex infections of the mouth, vitamin C deficiency, rheumatic fever, rheumatoid arthritis, sickle cell anemia, and other diseases that cause spontaneous bruising. Do not jump to the conclusion that your child has leukemia because of the presence of any of the signs or symptoms. To ease your mind, have your child examined by a doctor. MEDICAL TREATMENT The survival rate for childhood leukemia has been rising over the past few years because of the use of new anticancer drugs. These drugs may result in long periods of remission (during which the illness gets no worse) and even cure. Pediatric oncologists (cancer specialists) select and supervise the treatment of leukemia. RELATED TOPICS: Anemia; Arthritis; Bruises; Herpes simplex; Infectious mononucleosis; Sickle cell anemia