眼部卷入 - - 慢性髓性白血病的一个不寻常的初始表现:一个病例报告
Mittali Khurana1, Anupam Singh1, Himani Pal1
1Department of Ophthalmology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Journal of family medicine and primary care
|August 31, 2023
概括
眼科表现很少会在诊断慢性髓性白血病 (CML) 之前出现. 这一案例凸显了一个年轻患者的视力丧失如何导致慢性髓性白血病慢性阶段 (CML-CP) 的早期检测.
科学领域:
- 眼科医生 眼科 眼科
- 血液学 血液学 血液学
- 在瘤学瘤学.
背景情况:
- 慢性髓性白血病 (CML) 通常表现为全身性症状.
- 眼科表现是一种罕见的CML初始表现,通常与急性白血病有关.
- 早期诊断CML-CP对于有效管理至关重要.
研究的目的:
- 报告一个年轻的CML-CP患者出现初始眼科症状的独特病例.
- 强调眼科医生在血液恶性瘤的早期诊断中的作用.
- 为了强调迅速转诊对CML-CP管理的重要性.
主要方法:
- 一个29岁的男性突然失明的案例报告.
- 眼科检查包括视力敏度,眼底镜检查,超声波B扫描和光学连贯性断层扫描 (OCT).
- 系统性调查以确定潜在的恶性瘤.
主要成果:
- 这位患者在右眼出现了排泄性视网膜脱落,在左眼出现了玻璃体出血.
- 经过OCT检测,发现了白血病透.
- 随后的系统性调查证实了慢性髓性白血病-慢性阶段 (CML-CP).
结论:
- 眼睛的干扰可能是一个罕见的,CML-CP的前兆.
- 眼科医生在通过初步的眼部发现来识别血液性恶性瘤方面发挥着至关重要的作用.
- 及时转诊血液学家对于及时治疗CML-CP至关重要.
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