Dr.Syed Faraaz Hussain, H15908
A 7/F child presented in an outreach camp setting with body-ache with sudden bilateral eyelid swelling since 1 month RE>LE and protrusion of eyeball since 15 days. No h/o ocular trauma, bleeding from any site and loss of appetite. Ophthalmological evaluation revealed bilateral proptosis with visual acuity was 6/9 in both eye. An ill-defined tender firm swelling of greenish hue in RE was noted. EOMs were limited in up-gaze. Rest of Anterior segment examination was normal. Fundus examination shows optic disc oedema with peripapillary haemorrhages in BE. On general examination, child was febrile and had generalized rashes; paediatric referral done to rule out haematological malignancies. She was detected to be having acute myeloid leukaemia (AML) and treated by haematology accordingly. Our case highlights the importance of ruling out rare masquerades, especially life threatening disorders as early detection and referral to haematology can help in quick institution of management for AML.
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