Acute myeloid leukemia presenting as bilateral proptosis from diffuse extraocular muscle infiltration.
OBJECTIVE
To report a case of acute myeloid leukemia with bilateral proptosis as the sole presenting sign.


METHODS
Observational case report.


METHODS
A patient with bilateral proptosis was seen in consultation by pediatric ophthalmology.


RESULTS
Complete blood count, computerized tomography, and bone marrow biopsy confirmed the diagnosis of acute myeloid leukemia, with the proptosis due to diffuse infiltration of all extraocular muscles.


CONCLUSIONS
In a child with the sudden onset of proptosis without any other systemic findings, the diagnosis of acute leukemia must be considered.
Chen
Eric
E
Department of Ophthalmology and Visual Sciences, Vanderbilt University School of Medicine, 8000 Medical Center East, Nashville, TN 37232-8808, USA.
Morrison
David G
DG
Donahue
Sean P
SP
D000208:Acute Disease; D003937:Diagnosis, Differential; D005094:Exophthalmos / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007223:Infant; D007951:Leukemia, Myeloid / Q000000981:diagnostic imaging / Q000473:pathology*; D017254:Leukemic Infiltration / Q000000981:diagnostic imaging / Q000473:pathology*; D009801:Oculomotor Muscles / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed