假前房积脓：急性髓系白血病髓外复发，预后不良。

Pseudohypopyon: Extramedullary relapse of acute myelogenous leukemia with poor prognosis.

作者信息

Petersen William C, Schlis Krysta D, Braverman Rebecca S, Carlson Ingrid, Liang Xiayuan, Wang Michael

机构信息

Department of Pediatrics, The Children's Hospital, University of Colorado Denver School of Medicine, Aurora, Colorado 80045, USA.

出版信息

Pediatr Blood Cancer. 2009 Jul;52(7):885-7. doi: 10.1002/pbc.21885.

DOI:10.1002/pbc.21885

PMID:19090546

Abstract

An 11-month-old female presented to the emergency department with a 2-week history of fever, increasing fussiness, emesis, and decreased urine output. She was diagnosed with acute myelogenous leukemia. Systemic chemotherapy with intensified intrathecal cytarabine was started, and the patient achieved a clinical remission after the first course of induction. Towards the end of her second course of induction she developed pseudohypopyon in each eye on consecutive days, heralding a central nervous system relapse.

摘要

一名11个月大的女性因发热、烦躁加剧、呕吐和尿量减少2周而就诊于急诊科。她被诊断为急性髓系白血病。开始进行强化鞘内注射阿糖胞苷的全身化疗，患者在第一个诱导疗程后实现了临床缓解。在第二个诱导疗程接近尾声时，她连续两天双眼出现假性前房积脓，这预示着中枢神经系统复发。