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Acute lymphocytic leukemia presenting as masquerade syndrome
Subhash Dadeya1, K P S Malik, B P Guliani
1Department of Ophthalmology, Safdarjang Hospital, New Delhi, India.
Ophthalmic Surgery and Lasers
|April 11, 2002
Summary
A rare case of leukemic hypopyon in an 11-year-old was diagnosed via anterior chamber paracentesis. This procedure, along with pediatrician referral, is recommended for refractory uveitis cases.
Area of Science:
- Ophthalmology
- Pediatric Hematology-Oncology
Background:
- Refractory uveitis can present diagnostic challenges in pediatric cases.
- Leukemic involvement of the anterior chamber is an uncommon manifestation.
Observation:
- An 11-year-old presented with symptoms of plastic iridocyclitis and hypopyon.
- Anterior chamber paracentesis was performed for diagnostic purposes.
Findings:
- Paracentesis revealed leukemic infiltrates in the anterior chamber.
- Bone marrow biopsy confirmed acute lymphocytic leukemia (ALL).
Implications:
- Highlights the importance of considering systemic malignancy in unexplained pediatric uveitis.
- Advocates for anterior chamber paracentesis and pediatrician referral in refractory uveitis.
- Emphasizes the diagnostic utility of paracentesis for identifying leukemic hypopyon.