Nosebleeds a common first sign of leukaemia

Nosebleeds, bleeding gums, fever and fatigue are the most common first symptoms of acute leukaemia seen by GPs, UK researchers suggest.

In a bid to identify the symptom profiles of chronic and acute leukaemia presenting in primary care, researchers at the University of Exeter undertook a study of 4673 cases of leukaemia and compared them with almost 23,000 controls.

For acute leukaemia, they found that the most common and unique presenting symptoms were nosebleeds, bleeding gums, fever, fatigue, and chest pain (in males).

For chronic leukaemia, the more