A child with bilateral proptosis: a sign of acute myeloid leukemia?
Silke Swinnen1, Jaques van Heerden, Anne Uyttebroeck
1Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium. silke.swinnen@uzleuven.be
Abstract:
A 5-year-old girl from Rwanda was referred to our pediatric oncology department with severe bilateral proptosis and a bloody, necrotic chemosis of the conjunctiva and infraorbital tissues. Furthermore, she presented with a left facial paresis, hemorrhagic gingiva, epistaxis, and bloody tears. There was a 3-month history of pancytopenia. Investigations that included a complete blood count, peripheral blood smear, and bone marrow aspirate, were conclusive for the diagnosis of acute myeloid leukemia.
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