Unilateral Proptosis As An Initial Sign Of Acute Myeloid Leukemia In A Child: A Case Report

Unilateral Proptosis As An Initial Sign Of Acute Myeloid Leukemia In A Child: A Case Report

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Ashwaq Mohammed J Almalki,1 Faisal Ali Alotaibi,1 Hatim Fawzi Jabr,1 Abdul Rehman Mastan2 1Ophthalmology Department, King Abdulaziz Specialist Hospital, Taif, Kingdom of Saudi Arabia; 2ENT Department, King Abdulaziz Specialist Hospital, Taif, Kingdom of Saudi ArabiaCorrespondence: Ashwaq Mohammed J AlmalkiOphthalmology Department, King Abdulaziz Specialist Hospital, Taif, Kingdom of Saudi ArabiaEmail ashwaq_md@yahoo.comAbstract: Granulocytic sarcoma (chloroma) is a rare malignant solid Floor Lamp tumor representing an extramedullary manifestation of acute myeloid leukemia (AML).Rarely, a chloroma can develop as the sole manifestation and its appearance may precede the systemic manifestations of acute myelocytic leukemia by months to years.We report a rare case of unilateral orbital mass presenting with progressive proptosis involving left globe in an otherwise healthy child, and give a brief overview of the literature about Patient Room this unusual presentation.

Leukemic infiltration should be considered in the differential diagnosis of orbital masses and proptosis even in the absence of systemic manifestations of AML.Early detection and management are crucial to preserve vision and prevent complications.Keywords: granulocytic sarcoma, ocular leukemia, proptosis, pediatric, acute myeloid leukemia.