Abstract
Sir, It is now well known that aplastic anemia (AA) may represent a phase preceding ALL (pre-ALL). Despite numerous reports on this subject including more than 40 reported cases1-9 the etiology and pathogenesis of pre-ALL has not been adequately explained. Out of 552 children treated in our department for ALL during 1969-1992, pre-ALL has only been detected in eight patients (1.5%). The table summarizes our material.