title: [Massive bilateral subconjunctival hemorrhage revealing acute lymphoblastic leukemia].
abstract: We report the case of 20-year-old patient who presented in emergency with bilateral massive, spontaneous subconjunctival hemorrhage. Clinical findings suggested a blood dyscrasia, which was confirmed by blood cell count. The patient was urgently referred to hematology where the diagnosis of acute lymphoblastic leukemia was made. This case highlights the importance of working up any unusual subconjunctival hemorrhage, as it may reveal, in certain cases, a severe life-threatening disease.
authors.affiliation: Service d'ophtalmologie A, institut Hédi Raies d'ophtalmologie, boulevard 9-Avril, 1004 Tunis, Tunisie. itamalek@yahoo.fr
authors.forename: I
authors.initials: I
authors.lastname: Taamallah-Malek
authors.forename: A
authors.initials: A
authors.lastname: Chebbi
authors.forename: M
authors.initials: M
authors.lastname: Bouladi
authors.forename: L
authors.initials: L
authors.lastname: Nacef
authors.forename: H
authors.initials: H
authors.lastname: Bouguila
authors.forename: S
authors.initials: S
authors.lastname: Ayed
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003561:Cytarabine / Q000008:administration & dosage; D003630:Daunorubicin / Q000008:administration & dosage; D003907:Dexamethasone / Q000008:administration & dosage; D004630:Emergencies; D005130:Eye Hemorrhage / Q000209:etiology*; D005334:Fever / Q000209:etiology; D005884:Gingival Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D008727:Methotrexate / Q000008:administration & dosage; D054218:Precursor T-Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D011693:Purpura / Q000209:etiology; D055815:Young Adult
chemical_list: D003561:Cytarabine; D003907:Dexamethasone; D008727:Methotrexate; D003630:Daunorubicin