Acute megakaryocytic leukemia (AMKL) is a rare subtype of acute myeloi
d leukemia which is more common in children. Although the bone changes
in leukemia are well documented, there are only a few reports of the
AMKL subtype. We present an exceptional case of a young girl with very
aggressive AMKL, who demonstrated symmetrical destructive lesions of
the long bones characteristic of this disease. Lytic lesions of the sk
ull and jaws were also present, and these have not been previously des
cribed in AMKL.