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BRIEF COMMUNICATION
Year : 2011  |  Volume : 59  |  Issue : 5  |  Page : 391-393

Relapsing acute myeloid leukemia presenting as hypopyon uveitis


1 Department of Ophthalmology, Jaslok Hospital and Research Centre, Dr. G. Deshmukh Marg, Mumbai 400 026, India
2 Ursekar Laser and Microsurgery Eye Clinic, Krishna Niwas, 2nd Floor, Junction of Karve Road and R. R. Roy Road, Mumbai 400 004, India
3 Department of Pathology, Jaslok Hospital and Research Centre, Dr. G. Deshmukh Marg, Mumbai 400 026, India

Correspondence Address:
Atul T Ursekar
Ursekar Laser and Microsurgery Eye Clinic, Krishna Niwas, 2nd Floor, Junction of Karve Road and R.R. Roy Road, Mumbai 400 004
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.83621

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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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