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White-centered retinal hemorrhage revealing acute leukemia: A case report

Nadia Ben Abdesslem1,2, Nesrine Zaafrane1,2, Atf Ben Abderazek1,2

  • 1Department of Ophthalmology, Farhat Hached University Hospital, Sousse, Tunisia.

Annals of Medicine and Surgery (2012)
|May 31, 2022
PubMed

Retinal manifestations have been described as an inaugural manifestation of acute leukemia. Retinal hemorrhage, and in particular white-centered hemorrhages are among the most frequently observed signs. We report here the case of a 34-year-old Caucasian man with no medical history who presented to our emergency department with a decrease in visual acuity associated with asthenia. Ophthalmological examination revealed bilateral white-centered hemorrhages. The etiological assessment confirmed the diagnosis of acute myeloid leukemia. Whenever Roth spots are found in fundus examination, a complete ophthalmological examination along with a wide etiological investigation must be conducted.

Keywords:
Acute myeloid leukemiaCase reportRoth spotsWhite-centered hemorrhage

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