Unilateral Ptosis - An Unusual Initial Presentation of Acute Myeloid Leukaemia in an Adolescent Girl

  • Virendra Atam Professor, Department of Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India.
  • Satish Kumar Senior Resident, Department of Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India. https://orcid.org/0000-0002-6691-4281
  • Satyendra Kumar Sonkar Professor, Department of Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India.
  • Shyam Chand Chaudhary Professor, Department of Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India.
  • Sudhir Verma Assistant Professor, Department of Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India.
  • Ajay Kumar Associate Professor, Department of Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India.
  • Madhu Kumar Professor, Department of Pathology, King George’s Medical University, Lucknow, Uttar Pradesh, India.
Keywords: AML, Chloroma, Ptosis, Orbital Mass

Abstract

In case of acute myeloid leukaemia (AML), there is increased multiplication of blast cells forming the malignant clones of immature myeloid cells in the bone marrow in different body tissues and also enormously carried by blood. Here, we report an 18-year-old adolescent girl who presented with unilateral ptosis. Magnetic resonance imaging (MRI) of brain showed right orbital anteromedial mass. Bone marrow examination showed myeloblasts and metamyelocytes suggestive of AML. Patient was started on chemotherapy but could not survive the infections during the hospital stay.

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Published
2019-12-24
Issue
Vol. 6 No. 1 (2019): Journal of Advanced Research in Medicine
Section
Case Report