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.
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