 These are similar in symptoms, investigation approach and management to other forms of ALL.Symptoms that develop, like other forms of ALL, relate to deficiency of platelets, resulting in bruising or bleeding; immunosuppression resulting in infections; or infltration by cells into parts of the body, resulting in an enlarged liver, spleen, lymph nodes or other sites.Blood test might reveal a large amount of white blood cells or lymphoblasts, and deficiency in other cell lines - such as low platelets or anaemia.