Relapsing acute myeloid leukemia presenting as hypopyon uveitis.
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Date
2011-09
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Abstract
Anterior segment infiltration in acute myeloid leukemia (AML) presenting as hypopyon uveitis is very rare. We report this case as an uncommon presentation in a patient on remission after bone marrow transplant for AML. In addition to the hypopyon, the patient presented with “red eye” caused by ocular surface disease due to concurrent graft-versus-host disease and glaucoma. The classical manifestations of masquerade syndrome due to AML were altered by concurrent pathologies. Media opacities further confounded the differential diagnosis. We highlight the investigations used to arrive at a definitive diagnosis. In uveitis, there is a need to maintain a high index of clinical suspicion, as early diagnosis in ocular malignancy can save sight and life.
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Keywords
Acute myeloid leukemia, hypopyon, masquerade syndrome
Citation
Hegde Sapna P, Ursekar Atul T, Chitale Ajay A. Relapsing acute myeloid leukemia presenting as hypopyon uveitis. Indian Journal of Ophthalmology. 2011 Sept; 59(5): 391-393.