The median age group of those enrolled was 35 years, the median body-mass index was 16.7, the median CD4+ T-cell count was 25 per cubic millimeter, and the median viral load was 5.64 log10 copies per milliliter. There were no significant distinctions between the two groups with regard to baseline characteristics . Positive smears for acid-fast bacilli were obtained from the respiratory tract in 278 of the 332 individuals in the earlier-Artwork group and in 278 of the 329 sufferers in the later-ART group .We studied a lot more than 500 adolescents and adults with ALL, for whom treatment outcomes are inferior compared to those of kids with ALL substantially. The rate of recurrence of Ph-like ALL is usually greater than 25 percent among young adults with ALL. The regularity of Ph-like ALL among older adults with ALL is usually unfamiliar but merits investigation because of the indegent treatment result in this generation. We identified many subgroups of Ph-like ALL distinguished by the sort of cytokine receptor or kinase alteration that was present.