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Proptosis As Initial Presentation of Acute Lymphoblastic Leukemia in a Child With No Associated Symptoms: A Case Report Publisher



Goudarzipour K1 ; Mohammadi A1 ; Taherian R2 ; Ahmadi MA3 ; Behnam B4 ; Yazdi NA3
Authors
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Authors Affiliations
  1. 1. Pediatric Congenital Hematologic Disorders Research Center, Shahid Beheshti University of Medical Science, Tehran, Iran
  2. 2. Department of Radiology, Hamadan University of Medical Sciences, Hamadan, Iran
  3. 3. Department of Radiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Internal Medicine, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Pediatric Hematology and Oncology Published:2020


Abstract

Acute lymphocytic leukemia (ALL) is one of the frequent malignancies in pediatrics and involves bone marrow and extramedullary sites. Proptosis as extramedullary involvement of leukemia usually present in acute and chronic myeloid leukemia. It is extremely rare for ALL to present initially as proptosis. Here, a-21-month-old boy was presented with proptosis without any associated symptoms except lymphadenopathy. He was referred with the impression of malignancy from an ophthalmologist. After bone marrow biopsy which showed 33% blast cells, all positive for CD10, CD19, and CD79, the diagnosis of pre-B cell ALL was finally made. His symptoms were improved completely 16 days after starting standard protocol for ALL. Afterone-year follow-up, he was free of any symptoms. According to this initial presentation of ALL and no typical associated symptoms, it is important to make rapid diagnosis and start the treatment in the childhood. © 2020 Shahid Sadoughi University of Medical Sciences.
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