Kincaid M C, Green W R, Kelley J S
Am J Ophthalmol. 1979 May;87(5):698-702. doi: 10.1016/0002-9394(79)90307-6.
A 71-year-old woman had a history of recent weight loss and bilateral decreased visual acuity, bilateral serous detachment, and mental depression. Fluorescein angiograms showed a myriad of retinal pigment epithelial leakage points. Despite extensive evaluation, the cause of her weight loss and ocular process remained uncertain until her death, when postmortem examination revealed leukemia infiltrates of many organs, including the choroid. After death, we correlated the clinical signs and fluorescein angiograms with the histopathologic findings. This case shows that choroidal disease may be a symptom of undetected leukemia.
一名71岁女性有近期体重减轻、双侧视力下降、双侧浆液性视网膜脱离及精神抑郁病史。荧光素血管造影显示大量视网膜色素上皮渗漏点。尽管进行了广泛评估，但直至其死亡，其体重减轻和眼部病变的病因仍不明确，尸检发现包括脉络膜在内的多个器官有白血病浸润。死后，我们将临床体征和荧光素血管造影结果与组织病理学发现进行了关联。该病例表明脉络膜疾病可能是未被发现的白血病的一种症状。
