title: A child with bilateral proptosis:  a sign of acute myeloid leukemia?
abstract: A 5-year-old girl from Rwanda was referred to our pediatric oncology department with severe bilateral proptosis and a bloody, necrotic chemosis of the conjunctiva and infraorbital tissues. Furthermore, she presented with a left facial paresis, hemorrhagic gingiva, epistaxis, and bloody tears. There was a 3-month history of pancytopenia. Investigations that included a complete blood count, peripheral blood smear, and bone marrow aspirate, were conclusive for the diagnosis of acute myeloid leukemia.
authors.affiliation: Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium. silke.swinnen@uzleuven.be
authors.forename: Silke
authors.initials: S
authors.lastname: Swinnen
authors.forename: Jaques
authors.initials: J
authors.lastname: van Heerden
authors.forename: Anne
authors.initials: A
authors.lastname: Uyttebroeck
authors.forename: Nancy
authors.initials: N
authors.lastname: Boeckx
authors.forename: Katya
authors.initials: K
authors.lastname: Op de Beeck
authors.forename: Ingele
authors.initials: I
authors.lastname: Casteels
mesh_terms: D002675:Child, Preschool; D005094:Exophthalmos / Q000209:etiology*; D005260:Female; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy / Q000401:mortality