Affiliations: Department of Pediatrics, North Bengal Medical
College, Sushrutnagar, Darjeeling, India | Department of Pediatrics, Institute of Post Graduate
Medical Education and Research, Kolkata, India
Note: [] Correspondence: Dr. Rakesh Mondal, North Bengal Medical College,
Department of Pediatrics, Sushrutnagar, Darjeeling, India. Tel.: +91
9674240973/033 64143736; E-mail: rkm1971@indiatimes.com
Abstract: Leukemia is the most common malignancy in children. There were
different atypical presentations of acute leukemia described in literature like
cardiac metastasis, maxillofacial mass etc. Macrocephaly as a presentation of
acute lymphoblastic leukemia is reported earlier. We describe a 3-year-old male
who presented with macrocephaly and chronic raised intracranial pressure, which
was subsequently diagnosed to be case of acute promyelocytic leukemia. This
pointed out that macrocephaly could even be a rare and early manifestation of
acute myeloid leukemia in children.