周周细胞质炎作为急性淋巴细胞白血病的初始表现
Charmaine Han-Menz1,2, Sheikh Arif Maqbool Kozgar3,4, Mohammad Sohial Rana2
1Paediatrics, Latrobe Regional Hospital, Traralgon, Victoria, Australia.
BMJ case reports
|May 15, 2024
概括
周围细胞质炎,最初作为感染治疗,意外地揭示了B细胞急性淋巴细胞白血病 (ALL). 这一案例凸显了在模仿感染的眼科表现中考虑ALL的重要性.
科学领域:
- 眼科医生 眼科 眼科
- 儿科瘤学 儿科瘤学
- 传染性疾病 传染性疾病
背景情况:
- 腹膜细胞炎在儿童中很常见.
- 急性淋巴细胞白血病 (ALL) 很少出现眼部症状.
研究的目的:
- 报告一个独特的B细胞ALL病例,最初呈现为外围膜细胞炎.
- 强调对ALL的眼科症状的差异诊断.
主要方法:
- 临床病例介绍,包括详细的病史和检查.
- 诊断成像 (CT扫描) 和微生物培养 (眼部拭子).
- 血液学检查包括骨髓活检.
主要成果:
- 初步诊断的黄金菌 (Staphylococcus aureus) 周围膜细胞炎进展为死角性纤维炎.
- 偶然发现的泛细胞减小导致了B细胞ALL的诊断.
- 没有发现直接的眼睛或眼内白血病透.
结论:
- 周围细胞质炎可能是B细胞ALL的初始,尽管很少见的表现.
- 眼科医生应在围膜炎症的差异诊断中考虑ALL,特别是在对抗生素不反应时.
- 这一案例强调了儿童眼科医学的广泛差异诊断的必要性.
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