Clinical trial NCT04756258: Early Diagnosis of Leukemic Children Patients Based on Clinical, Age Estimation and Radiographical Evaluation of Oral Affection
Official title: Early Diagnosis of Leukemic Children Patients Based on Clinical, Age Estimation and Radiographical Evaluation of Oral Affection
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Leukemia
Lead sponsor: Tanta University
Sponsor class: OTHER
First posted: 2021-02-16
Enrollment: 10
Sex: ALL
Minimum age (years): 6
Maximum age (years): 10
Standard ages: CHILD
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: ten Children leukemic patients selected from hematology Unit of faculty of medicine, Tanta university revealing anemia or abnormal WBCs confirmed by bone marrow aspiration biopsy, these Children patients examined orally for any oral pathology as gingival masses, oral ulceration, bone resorption, teeth mobility, and assessed radiographically by panoramic and CBCT for age estimation , bone density to help in their early diagnose if they came to the dentist

Brief summary: Early diagnosis of leukemia which is malignant tumor affecting bone especially in children is import to allow early intervention improving prognosis. It is known that leukemic patients suffer from clinical signs as anemia, thrombocytopenia, and pronounced hepatosplenomegaly or lymphadenopathy. However, sometimes these clinical signs may be not clearly manifested and may look like anemia. The early diagnosis could be achieved through dentist by accessing clinical and radiographical signs such as oral masses, gingival bleeding /or enlargement and oral ulceration with radiographical features including focal or generalized osteolysis of bone with presence of moth eating appearance and even with abnormal teeth chronology regarding teeth morphology, germ formation of permanent teeth and their sequence of eruption. Therefore, accessing of these special clinical and radiographical features by the dentist could help in early diagnosis of leukemic children patients

Detailed description: Ten children patients suffer from leukemia selected after initial diagnosis from hematology unit of faculty of medicine, Tanta university based on their clinical signs such as; bone pain, fatigability, lymph node enlargement...etc., with abnormal CBC revealing anemia or abnormal WBCs. These patients accessed clinically for oral signs and accessed radiographically using panoramic radiographs and cone beam computed tomography (CBCT) to evaluate chronology and bone density.

Eligibility criteria: Inclusion Criteria:

1-Children will be aged from 6-10 years 2 Children diagnosed with leukemia but they don't start treatment yet

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Exclusion Criteria:

1. Children below or above the age
2. Children already diagnosed by leukemia and started treatment
3. Children diagnosed by other bone lesions showing osteolytic bone or anemia as thalassemia or sickle cell anemia or any other bone pathology

Primary outcomes:
measure: Ability to diagnose leukemic child patients who don't have manifesting systemic clinical signs from their clinical and radiographical oral signs
timeFrame: one year
Secondary outcomes:
Other outcomes:
Locations:
city: Tanta
country: Egypt
facility: Rehab Fouad Ghouraba
state: Grabia
Study officials:
affiliation: Tanta university, faculty of dentistry, Oral medicine clinic
name: rehab f ghouraba, PHD
role: PRINCIPAL_INVESTIGATOR
affiliation: Tanta university, faculty of dentistry, Oral medicine clinic
name: rehab f ghouraba
role: PRINCIPAL_INVESTIGATOR
References: