To the Editor: Congenital leukemia is rare, accounting for less than 1% of childhood leukemia.[1] Acute myeloid leukemia (AML) occurs more frequently than acute lymphoblastic leukemia during the first four weeks of life, with acute monoblastic leukemia accounting for approximately 50% of cases, followed by acute myelomonocytic leukemia in 20%.[1] Acute erythroleukemia is extremely rare, with six reported cases. [2][3][4][5][6][7] We report a term male with congenital acute erythroleukemia who achieved sustained remission with low-dose cytosine arabinoside (Ara-C) alone. He presented with respiratory distress following a normal delivery. Examination revealed pallor, costal recession, and hepatomegaly, with no dysmorphic features. A full blood count showed leukocytosis (72.95 Â 10 9