急性淋巴细胞白血病约占小儿急性血液病70%[1],常见表现为发热、贫血、出血、肝脾淋巴结肿大,但有少数病例表现为不典型症状,往往易误诊,延误病情,现就我院3例不典型急性淋巴细胞白血病病例报告如下。1病历摘要例1:男,4岁。因颜面水肿,双足肿胀,尿蛋白(+)于当地医院诊断为肾炎, Acute lymphoblastic leukemia accounts for about 70% of children with acute hematological disease [1], common manifestations of fever, anemia, bleeding, hepatosplenomegaly, but a small number of cases showed atypical symptoms, often misdiagnosis, delay the disease, now 3 cases of atypical acute lymphoblastic leukemia in our hospital are as follows. 1 case summary 1: male, 4 years old. Due to facial edema, swelling of both feet, urinary protein (+) at the local hospital diagnosed with nephritis,