Sudanese Journal of Ophthalmology

CASE REPORT
Year
: 2014  |  Volume : 6  |  Issue : 1  |  Page : 33--35

Childhood proptosis: A case of missed diagnosis


Snehal R Thakre, Jyotika P Mishrikotkar, Sheetal U Wankhede, Supriya A Deshpande 
 Department of Ophthalmology, MGM Medical College, Aurangabad, Maharashtra, India

Correspondence Address:
Snehal R Thakre
Department of Ophthalmology, MGM Medical College, N-6, CIDCO, Aurangabad - 413 006, Maharashtra
India

Proptosis in childhood can be a diagnostic dilemma. We present a child who came with subacute onset, bilateral and asymmetric proptosis. He was diagnosed to have pseudotumor on the basis of imaging studies and started on systemic steroids. He responded partially, only to have a recurrence few weeks later. Baseline blood investigations showed a substantial drop in hemoglobin. Peripheral blood smear (PBS) showed atypical cells suggestive of leukemia. A bone marrow biopsy confirmed acute myeloid leukemia. The case illustrates an extra-ocular, systemic cause of proptosis, which was missed on initial presentation. The clue to the diagnosis was clinched on simple baseline tests such as hemoglobin and PBS. An extra-ocular cause, though uncommon, should always be considered in evaluation for every childhood proptosis to prevent delayed diagnosis.


How to cite this article:
Thakre SR, Mishrikotkar JP, Wankhede SU, Deshpande SA. Childhood proptosis: A case of missed diagnosis.Sudanese J Ophthalmol 2014;6:33-35


How to cite this URL:
Thakre SR, Mishrikotkar JP, Wankhede SU, Deshpande SA. Childhood proptosis: A case of missed diagnosis. Sudanese J Ophthalmol [serial online] 2014 [cited 2020 Jan 25 ];6:33-35
Available from: http://www.sjopthal.net/article.asp?issn=1858-540X;year=2014;volume=6;issue=1;spage=33;epage=35;aulast=Thakre;type=0