title: [Diffuse large B cell lymphoma presenting with a bilateral serous macular detachment].
abstract: METHODS
  A 42 year-old male was assessed for a subacute, bilateral and progressive visual loss. His medical history included chronic hepatitis C infection and Evans syndrome. On fundal examination, multiple areas of neurosensorial and retinal pigmented epithelium detachment were observed in the region of both macula. A few days later, his general health deteriorated and he was noted to have a high fever and adenopathy. Biopsy of an enlarged lateral cervical lymph node demonstrated the existence of a diffuse large B cell lymphoma. After several cycles of chemotherapy, he experienced a progressive and bilateral improvement of his vision, which was accompanied by a reattachment of the previously detached areas.
  
  
  CONCLUSIONS
  A bilateral and serous macular detachment may be the initial manifestation of a diffuse large B cell lymphoma. The prognosis of these retinal lesions may be favourable if lymphoma remission is achieved.
authors.affiliation: Hospital de Fuenlabrada, Madrid, Spain. jalbres@yahoo.es
authors.forename: J A
authors.initials: JA
authors.lastname: Reche-Sainz
authors.forename: M J
authors.initials: MJ
authors.lastname: Peral-Ortiz de la Torre
authors.forename: R
authors.initials: R
authors.lastname: Carpio-Bailén
authors.forename: N
authors.initials: N
authors.lastname: Toledano-Fernández
mesh_terms: D000328:Adult; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications* / Q000175:diagnosis; D008297:Male; D012163:Retinal Detachment / Q000209:etiology*