Atypical Localization of a Roth Spot Revealing Acute Lymphoblastic Leukemia
Journal Title: Scholars Journal of Medical Case Reports - Year 2018, Vol 6, Issue 8
Abstract
The retinal lesions in acute leukemias can result from different mechanisms, their frequency varies from 28% to 50%, the retinal damage occurs following the infiltration of the retina by blast cells or by hemorrhage following thrombocytopenia, They can be revealing of the leukemic picture. We describe the case of this patient, without pathological antecedents, who consults for appearance of a central scotoma associated with a decrease of visual acuity of the right eye, all in a context of alteration of the general condition. The ocular lesions of leukemias are frequent but rarely revealing the disease, the ocular form is considered as the equivalent of a neurological damage and must be treated as such. The purpose of this report is to draw clinicians' attention to this clinical sign of rare localization that can delay diagnosis and lead to vital and functional complications. The diagnosis can be easily evoked with a number of clinical signs without resorting to expensive tests. Rapid diagnosis, evaluation and appropriate management can prevent vital complications and loss of visual function in patients who have been diagnosed early with this condition.
Authors and Affiliations
Khalid Arroub, Mohammed Meskini, Redouane Messoudi, Mohamed Kriet
Keywords
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