Home Print this page Email this page
Users Online: 235
Year : 2014  |  Volume : 6  |  Issue : 1  |  Page : 33-35

Childhood proptosis: A case of missed diagnosis

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
Login to access the Email id

DOI: 10.4103/1858-540X.138850

Rights and Permissions

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.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded321    
    Comments [Add]    
    Cited by others 1    

Recommend this journal