RT - Journal TY - JOUR A1 - Upadhyay, Sachin A1 - Rawat, Shyam A1 - Gupta, Gourav A1 - Saxena, Upasna T1 - Chloroma (Granulocytic sarcoma): An unusual cause of shoulder pain in chronic myeloid leukemia; a diagnostic dilemma YR - 2014/1/1 JF - Journal of Orthopaedics and Allied Sciences JO - J Orthop Allied Sci SP - 20 OP - 23 VO - 2 IS - 1 UL - https://www.joas.in/article.asp?issn=2319-2585;year=2014;volume=2;issue=1;spage=20;epage=23;aulast=Upadhyay;t=5 DO - 10.4103/2319-2585.134206 N2 - At one point or another in their lives, most people will experience some degree of shoulder pain. It may be secondary to a variety of underlying pathology. We report a case of shoulder pain caused by a granulocytic sarcoma (chloroma) in chronic myeloid leukemia (CML) patient misdiagnosed initially as synovitis. Although granulocytic sarcoma has many classic musculoskeletal manifestations, to our knowledge, a case of CML concurrent with chloroma of the shoulder joint has not been reported in the literature. We must not forget that the shoulder pain arising from granulocytic sarcoma may be the initial presenting feature of underlying hematological malignancy such as CML. ER -