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眼睛:未诊断的慢性髓性白血病的窗口。

Eye: the door to undiagnosed chronic myeloid leukaemia.

机构信息

Glaucoma Services, LV Prasad Eye Institute Bhubaneswar Campus, Bhubaneswar, Odisha, India.

Glaucoma Services, LV Prasad Eye Institute Bhubaneswar Campus, Bhubaneswar, Odisha, India

出版信息

BMJ Case Rep. 2021 May 24;14(5):e240949. doi: 10.1136/bcr-2020-240949.

Abstract

Chronic myeloid leukaemia (CML) is a myeloproliferative neoplasm that can present in varied ways from incidental finding on haemogram to symptomatic presentation such as splenomegaly. We report an interesting case of a 22-year-old man who presented with loss of vision in right eye for 1 month. There were no pre-existing ocular or systemic diseases. On detailed ocular examination, a diagnosis of right eye rubeosis iridis, hyphaema, cataract and vitreous haemorrhage with left eye suspected leukaemic retinopathy was made. Routine haemogram revealed high leucocytosis. Systemic evaluation with investigations confirmed the diagnosis of CML and the patient was started on appropriate therapy.

摘要

慢性髓性白血病(CML)是一种骨髓增殖性肿瘤,其表现形式多样,从血象偶然发现到脾肿大等症状表现不等。我们报告了一个有趣的病例,一名 22 岁男性因右眼视力丧失 1 个月就诊。患者无既往眼部或系统性疾病。详细眼部检查诊断为右眼虹膜新生血管、前房积血、白内障和玻璃体出血,左眼疑似白血病性视网膜病变。血常规显示白细胞增多。全身评估和检查证实了 CML 的诊断,患者开始接受适当的治疗。

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