Een meisje met uitgebreide lymfadenopathie

A 6-year-old girl presented at the emergency department with increasing swellings of multiple lymph nodes over the past 3 days, without other complaints. At physical examination an impressive general lymphadenopathy was seen without any other abnormalities. The peripheral blood smear showed 86% lymphoblasts. She was diagnosed with B-cell precursor acute lymphoblastic leukemia.

Conflict of interest: none declared. Financial support: none declared.