Charalel Resmi, Jain Atul, Rachakonda Leelanand, Gaynon Michael
Department of Ophthalmology, Stanford University School of Medicine, Stanford, CA - USA.
Eur J Ophthalmol. 2009 Mar-Apr;19(2):318-20. doi: 10.1177/112067210901900228.
Hairy cell leukemia (HCL) is a rare disorder that occasionally has visual symptoms after diagnosis. The authors present a case of HCL in which bilateral visual symptoms led to the initial diagnosis.
Observational case report.
Bilateral decreased vision to 20/30 in the right eye and 20/40 in the left due to intraretinal and preretinal hemorrhages with no other systemic signs or symptoms prompted a hematologic evaluation in which HCL was found to be the causative disorder in a previously healthy 41-year-old man.
The authors present a rare case in which bilateral visual complaints led to the diagnosis of HCL. Thus, though uncommon, HCL should be considered in the differential diagnosis of otherwise unexplained retinal hemorrhages.
毛细胞白血病（HCL）是一种罕见疾病，诊断后偶尔会出现视觉症状。作者报告一例HCL病例，该病例因双侧视觉症状而得以初步诊断。
观察性病例报告。
一名此前健康的41岁男性因视网膜内和视网膜前出血导致双眼视力下降，右眼降至20/30，左眼降至20/40，且无其他全身体征或症状，这促使其接受血液学评估，结果发现HCL是病因。
作者报告了一例罕见病例，其中双侧视觉症状导致了HCL的诊断。因此，虽然不常见，但在鉴别诊断不明原因的视网膜出血时应考虑HCL。
