Ben Abdesslem Nadia, Zaafrane Nesrine, Ben Abderazek Atf, Jabri Ahmed, Mahjoub Anis, Ben Youssef Chiraz, Mahjoub Hachemi, Krifa Fethi, Mahjoub Ahmed
Department of Ophthalmology, Farhat Hached University Hospital, Sousse, Tunisia.
Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Ann Med Surg (Lond). 2022 Apr 15;77:103632. doi: 10.1016/j.amsu.2022.103632. eCollection 2022 May.
Retinal manifestations have been described as an inaugural manifestation of acute leukemia. Retinal hemorrhage, and in particular white-centered hemorrhages are among the most frequently observed signs. We report here the case of a 34-year-old Caucasian man with no medical history who presented to our emergency department with a decrease in visual acuity associated with asthenia. Ophthalmological examination revealed bilateral white-centered hemorrhages. The etiological assessment confirmed the diagnosis of acute myeloid leukemia. Whenever Roth spots are found in fundus examination, a complete ophthalmological examination along with a wide etiological investigation must be conducted.
视网膜表现已被描述为急性白血病的首发表现。视网膜出血，尤其是中心呈白色的出血，是最常观察到的体征之一。我们在此报告一例34岁无病史的白种男性病例，他因视力下降伴乏力就诊于我们的急诊科。眼科检查发现双侧中心呈白色的出血。病因评估确诊为急性髓系白血病。无论何时在眼底检查中发现 Roth 斑，都必须进行全面的眼科检查以及广泛的病因调查。
