急性髓系白血病表现为双侧眼球突出，源于弥漫性眼外肌浸润。
Acute myeloid leukemia presenting as bilateral proptosis from diffuse extraocular muscle infiltration.
作者信息
Chen Eric, Morrison David G, Donahue Sean P
机构信息
Department of Ophthalmology and Visual Sciences, Vanderbilt University School of Medicine, 8000 Medical Center East, Nashville, TN 37232-8808, USA.
出版信息
Am J Ophthalmol. 2004 May;137(5):948-50. doi: 10.1016/j.ajo.2003.10.050.
PURPOSE
To report a case of acute myeloid leukemia with bilateral proptosis as the sole presenting sign.
DESIGN
Observational case report.
METHODS
A patient with bilateral proptosis was seen in consultation by pediatric ophthalmology.
RESULTS
Complete blood count, computerized tomography, and bone marrow biopsy confirmed the diagnosis of acute myeloid leukemia, with the proptosis due to diffuse infiltration of all extraocular muscles.
CONCLUSION
In a child with the sudden onset of proptosis without any other systemic findings, the diagnosis of acute leukemia must be considered.
目的
报告一例以双侧眼球突出为唯一首发症状的急性髓系白血病病例。
设计
观察性病例报告。
方法
一名双侧眼球突出患者由小儿眼科会诊。
结果
全血细胞计数、计算机断层扫描和骨髓活检确诊为急性髓系白血病，眼球突出是由于所有眼外肌的弥漫性浸润所致。
结论
对于突然出现眼球突出且无任何其他全身表现的儿童，必须考虑急性白血病的诊断。
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