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Choroidal infiltrates simulating fundal changes of acute leukemia during hematological recovery following high-dose chemotherapy in acute myelomonocytic leukemia in remission

✍ Scribed by Ghosh, Kanjaksha; Mitra, Sandip; Hiwase, Devendra


Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
219 KB
Volume
63
Category
Article
ISSN
0361-8609

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✦ Synopsis


A young female patient of 18 who was diagnosed to have acute myelomonocytic leukemia (AML M4) developed choroidal infiltrate and fundal changes suggestive of acute leukemia deposits while she was in remission and was recovering from chemotherapy induced myelosuppression. The choroidal infiltrates were associated with peripheral blood and CSF monocytosis. The choroidal lesion resolved on its own in 2 week's time, when the peripheral and CSF monocytosis subsided. Interestingly this patient had pseudo-Chediak Higashi inclusions in leukemic blasts with normal karyotype. Am.