Facial palsy as first presentation of acute myeloid leukemia.
Granulocytic sarcoma or chloroma is a tumor composed of myeloblast or monoblast. These tumors may be found in any location of the body and occur in 5% of acute myeloid leukemia (AML) cases and are more common in pediatric patients. In this report we describe the case of a 27-year-old male who developed lower motor neuron seventh nerve palsy followed by swelling of the parotid gland. Fine-needle aspiration cytology (FNAC) of the soft tissue swelling revealed scattered blasts, and peripheral smear and bone marrow aspirate examination suggested AML. This is a rare presentation of a granulocytic sarcoma leading to a diagnosis of AML.
Department of Medicine, Indira Gandhi Medical College, Shimla, HP India. bhriguraj@sancharnet.in
Bhrigu Raj
BR
Sood
Brij
B
Sharma
Satish
S
Kumar
Dalip
D
Gupta
Ashok
A
Sharma
D000328:Adult; D005154:Facial Nerve; D005158:Facial Paralysis / Q000209:etiology; D006801:Humans; D007948:Leukemia, Monocytic, Acute / Q000150:complications / Q000175:diagnosis*; D008297:Male; D015840:Oculomotor Nerve Diseases / Q000209:etiology*; D010307:Parotid Neoplasms / Q000175:diagnosis; D023981:Sarcoma, Myeloid / Q000150:complications / Q000175:diagnosis*