RT Journal A1 KELLMAN L T1 PRimary polycythemia with leukemic manifestations JF American Journal of Diseases of Children JO American Journal of Diseases of Children YR 1939 FD July 1 VO 58 IS 1 SP 146 OP 149 DO 10.1001/archpedi.1939.01990070158015 UL http://dx.doi.org/10.1001/archpedi.1939.01990070158015 AB Primary polycythemia, or erythremia, is usually a disease of adult life, and is extremely rare in childhood. Even more unusual is the case here described, in which occurred manifestations of leukemia. The case has been followed for almost five years; there has been a complete remission of all symptoms, objective and subjective, for the three years prior to writing.REPORT OF A CASE  History.—The patient, a girl 6 years of age, was brought to the clinic on Nov. 21, 1933. She complained of frontal headaches, brought on by excitement or exercise and relieved by rest, which had begun suddenly about two weeks previously. She had been well until that time. Her tonsils had been removed six months before. She had had measles and pertussis. Complete physical examination revealed no pathologic findings except an injected pharynx. A placebo (lactose) was prescribed, and laboratory work was ordered.Course.—Within ten days