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 leather Keychain 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 [email protected]: Granulocytic sarcoma (chloroma) is a rare malignant solid 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 this unusual presentation.

Leukemic infiltration should be considered in the differential diagnosis of orbital masses and proptosis Antiseptics/Disinfectants 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.