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Multiple myeloma. Orbital involvement in a youth
Archives of Ophthalmology (Chicago, Ill. : 1960)
|April 1, 1977
Summary
Multiple myeloma rarely affects the orbit, typically in older adults. This case highlights a rare instance in a 19-year-old pregnant female, emphasizing the need for thorough diagnosis.
Area of Science:
- Hematology
- Ophthalmology
- Oncology
Background:
- Multiple myeloma, a plasma cell malignancy, uncommonly involves the orbit.
- Orbital involvement typically presents in older individuals, with a median age of 56 years in reported series.
Observation:
- A 19-year-old pregnant female presented with diplopia and proptosis.
- This presentation is highly unusual given the typical demographic for orbital myeloma.
Findings:
- Extensive medical work-up was required to diagnose the condition.
- Electron microscopic study was essential for definitive diagnosis, confirming orbital multiple myeloma.
Implications:
- This case underscores that multiple myeloma can occur in younger individuals, even during pregnancy.
- Highlights the importance of considering rare diagnoses in atypical patient populations.
- Emphasizes the utility of advanced diagnostic techniques like electron microscopy in challenging cases.