Document
Unilateral proptosis : a rare presenting sign of acute myeloid leukemia.
Identifier
DOI 10.5001/omj.2022.10
Contributors
Al-Shaaibi, Majid., Author
Al-Mughaizwiyah, Tahani., Author
Wali, Yasser., Author
Ganesh, Anuradha., Author
Publisher
Oman Medical Specialty Board.
Gregorian
2022-07
Language
English
English abstract
Unilateral proptosis is a rare initial presenting sign of acute myeloid leukemia (AML).
We report a case of unilateral proptosis in a six-year-old girl as the initial manifestation
of AML. The cancer link was initially missed and the case was investigated as one of
hyperthyroidism. Peripheral blood smear and bone marrow aspirate evaluation showed
signs diagnostic of AML. Computed tomography scan of orbits showed infiltrative process
in the right orbit, right maxillary, and right ethmoidal sinuses. Unilateral proptosis as an
extramedullary first presenting feature of AML is very rare; however, it should always be
considered in the differential diagnosis of proptosis in pediatric age group.
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Category
Journal articles