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Meralgia Paresthetica as a Presentation of Acute Appendicitis in a Girl With Acute Lymphoblastic Leukemia

Nishimura, Miho MD*; Kodama, Yuichi MD*; Fukano, Reiji MD*; Okamura, Jun MD*; Ogaki, Kippei MD; Sakaguchi, Yoshihisa MD; Migita, Masahiro MD; Inagaki, Jiro MD*

Journal of Pediatric Hematology/Oncology: April 2015 - Volume 37 - Issue 3 - p e182–e183
doi: 10.1097/MPH.0000000000000189
Online Articles: Clinical and Laboratory Observations

A 7-year-old girl with Philadelphia chromosome-positive acute lymphoblastic leukemia developed recurrent fever and meralgia paresthetica (MP) during chemotherapy, which resolved after administration of antibiotics. Five months after the onset of these symptoms, enhanced computed tomography showed a periappendiceal abscess extending into the psoas muscle. The cause of her fever and MP was thought to be appendicitis, which probably developed during induction chemotherapy but did not result in typical abdominal pain. Patients with recurrent fever and MP should be evaluated by imaging examinations including computed tomography to search for appendicitis.

Departments of *Pediatrics

Gastrointestinal Surgery, National Kyushu Cancer Center, Fukuoka

Department of Pediatrics, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan

The authors declare no conflict of interest.

Reprints: Yuichi Kodama, MD, Department of Pediatrics, National Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, Fukuoka 811-1395, Japan (e-mail:

Received February 18, 2014

Accepted April 30, 2014

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