title: A Case of Early Ocular Manifestation of Maculopathy in a 37 year Old Male Patient of CLL.
abstract: B cell chronic lymphocytic leukemia (CLL) also called chronic lymphocytic leukemia is a disease of elderly, but in rare cases it can occur in young adults. Majority of patients present with no specific symptoms, and CLL is suspected on the basis of high total and relative lymphocyte counts, discovered on routine blood examination. This patient was referred from medicine outpatient in our institute, Era's Lucknow Medical College & Hospital for routine complete blood count. His total leukocyte count came out to be alarmingly high. The general blood picture and bone marrow examinations were consistent with CLL. On immunophenotyping CD5 and CD23 were positive. His cervical lymph nodes biopsy was reported as a case of CLL/small lymphocytic lymphoma. On his complaint of hazy vision his funduscopy revealed maculopathy. This makes our case a unique and rare one, as maculopathy in a young patient of CLL has not yet been reported from India.
authors.affiliation: Department of Pathology, Era's Lucknow Medical College and Hospital, Hardoi Road, Lucknow, 226 003 India ; 505, Dilkash Apartments, 3-sRiver Bank Colony, Lucknow, 226018 India.
authors.forename: Syed Riaz
authors.initials: SR
authors.lastname: Mehdi
authors.affiliation: Department of Pathology, Era's Lucknow Medical College and Hospital, Hardoi Road, Lucknow, 226 003 India.
authors.forename: Nishi
authors.initials: N
authors.lastname: Tandon
authors.affiliation: Department of Pathology, Era's Lucknow Medical College and Hospital, Hardoi Road, Lucknow, 226 003 India.
authors.forename: Sufia Ahmad
authors.initials: SA
authors.lastname: Khan
authors.affiliation: Department of Pathology, Era's Lucknow Medical College and Hospital, Hardoi Road, Lucknow, 226 003 India.
authors.forename: Sharique
authors.initials: S
authors.lastname: Ahmad
keywords: Chronic lymphocytic leukemia (CLL); Maculopathy; Small lymphocytic lymphoma (SLL); Young adults