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Acute myeloid leukemia presenting as horizontal diplopia
Journal article   Peer reviewed

Acute myeloid leukemia presenting as horizontal diplopia

Joshua Lucas, Abhijith Bathini and Karen Greenberg
The American journal of emergency medicine, v 49, pp 441.e1-441.e2
Nov 2021
PMID: 33975743

Abstract

Acute myeloid leukemia Acute myeloid leukemia presentation Diplopia Horizontal diplopia
Acute myeloid leukemia (AML) accounts for 16% of all leukemias in children. Prognosis in the pediatric population is better than that of older populations, with a younger age at diagnosis being a favorable prognostic factor [1]. Diplopia is a rare first presenting sign of AML. We present a 15 year old male complaining of diplopia and unilateral orbital swelling. Workup in the emergency department found normal neuroimaging but revealed a markedly elevated leukocytosis with anemia and thrombocytopenia. Peripheral smear showed increased blast cells >10%. This patient was ultimately diagnosed with AML. This case demonstrates an atypical presentation of AML and urges a thorough work up for patients presenting with unexplained diplopia.

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Emergency Medicine
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