Which type of leukemia is generally associated with an increase in white blood cells affecting primarily children?

Prepare for USMLE Step 1 Pathology Exam with comprehensive quizzes, flashcards, and detailed explanations. Enhance your understanding and be exam-ready!

Acute Lymphoblastic Leukemia (ALL) is particularly notable for its prevalence in children and is characterized by a significant increase in white blood cells, specifically lymphoblasts. This type of leukemia is the most common diagnosis in pediatric populations and is associated with the accumulation of immature lymphoid cells in the bone marrow and peripheral blood, disrupting the normal hematopoietic processes.

During the course of ALL, the leukemic cells proliferate and can lead to various clinical manifestations such as anemia, thrombocytopenia, and the infiltration of leukemic cells into other tissues, which can cause symptoms like bone pain or lymphadenopathy. The age of onset typically peaks between 2 to 5 years of age, and the prognosis has improved with advances in treatment strategies, making it a critical focus in pediatric oncology.

The other types of leukemia mentioned primarily affect older populations or do not have the same strong association with children. Therefore, ALL is distinctly recognized for its higher incidence in the pediatric demographic compared to the other forms listed.

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