Bilateral orbital myeloid sarcoma: the circumstance of the discovery of acute myeloid leukemia (a case report)

被引：1

作者：

Rambeloson, Rado ^{[1
]}

Ranoasy, Njara Francia ^{[1
]}

Randrianjafisamindrakotroka, Ony ^{[1
]}

Andriamiadanalisoa, Andoniaina Orlando ^{[1
]}

Raobela, Lea ^{[1
]}

机构：

[1] Ctr Hosp Univ Ravoahangy, Antananarivo, Madagascar

来源：

PAN AFRICAN MEDICAL JOURNAL | 2021年 / 39卷

关键词：

Myeloid sarcoma; exophthalmos; Madagascar; case report; OPHTHALMIC MANIFESTATIONS;

D O I：

10.11604/pamj.2021.39.145.25242

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Myeloid sarcoma is a rare ocular manifestation of acute myeloid leukemia. Bilateral manifestation preceding any clinical signs of leukemia is even rarer. We here report the case of a 16-month-old patient with rapidly progressive, inflammatory, acute bilateral exophthalmos associated with exposure keratitis. Computed tomography (CT) scan of the orbit and of the brain showed bilateral tissue-like infiltration into the orbital cavity. Blood tests showed biologic inflammatory syndrome, bicytopenia and circulating blasts 83%. Myelogram was performed based on the presence of circulating blasts; it showed acute myeloid leukemia (grade 4). Clinicians should suspect myeloid sarcoma in patients with bilateral exophthalmos and conduct a careful interpretation of blood test results.

引用

页数：6

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