Patients are often sick only for days to weeks prior to seeking medical attention. Therefore, the diagnosis of acute myeloid leukemia is made based on a compatible clinical history and a confirmatory laboratory investigation. A complete blood count (CBC) is almost always tested on patients. CBC always comes back abnormal, with leukemic cells often found in the peripheral circulation. Often, the total white blood cell count is elevated, and the red blood cell count is depressed (anemia) as is the platelet count (thrombocytopenia). (Cutler …show more content…
The lack of white cells results in lowered immunity and a high likelihood of infections. A low platelet count may result in easy bruisability and spontaneous bleeding, and is treated with routine platelet transfusions. A decrease in the red cell count, termed anemia, may result in fatigue, shortness of breath, and lack of energy. Red cell transfusions are therefore used routinely. Consolidation involves giving repeated cycles of chemotherapy once the patient appears to be in remission. The purpose of consolidation chemotherapy is to eradicate any microscopic amounts of leukemia that are undetectable using standard diagnostic studies.Stem cell transplantation is used instead of consolidative chemotherapy in individuals with adverse prognostic features at the time of leukemic diagnosis. Stem cell transplantation is also used in an attempt to cure acute myeloid leukemia that has recurred after standard chemotherapy treatment.(Cutler