Non-traumatic subperiosteal orbital hematoma as a presenting sign of chronic myelogenous leukemia

Michael K. Yoon, Timothy J McCulley

Research output: Contribution to journalArticle

Abstract

We present a case with a nontraumatic subperiosteal orbital hematoma as a presenting sign of chronic myelogenous leukemia. A previously healthy 34 year-old man presented with a 2-day history of right upper eyelid swelling. CT scan revealed a subperiosteal mass, and routine blood tests revealed a white blood cell count of 290,000/μl with normal platelet count. Chronic myelogenous leukemia was diagnosed based on a subsequent bone marrow biopsy. After orbitotomy and evacuation of the hematoma, the patient's visual acuity and motility returned to normal. In conclusion, chronic myelogenous leukemia should be considered in the differential diagnosis of nontraumatic subperiosteal orbital hematoma.

Original languageEnglish (US)
JournalOphthalmic Plastic and Reconstructive Surgery
Volume28
Issue number4
DOIs
StatePublished - Jul 2012

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Leukemia, Myelogenous, Chronic, BCR-ABL Positive
Hematoma
Patient Acuity
Hematologic Tests
Eyelids
Platelet Count
Leukocyte Count
Visual Acuity
Differential Diagnosis
Bone Marrow
Biopsy

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

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abstract = "We present a case with a nontraumatic subperiosteal orbital hematoma as a presenting sign of chronic myelogenous leukemia. A previously healthy 34 year-old man presented with a 2-day history of right upper eyelid swelling. CT scan revealed a subperiosteal mass, and routine blood tests revealed a white blood cell count of 290,000/μl with normal platelet count. Chronic myelogenous leukemia was diagnosed based on a subsequent bone marrow biopsy. After orbitotomy and evacuation of the hematoma, the patient's visual acuity and motility returned to normal. In conclusion, chronic myelogenous leukemia should be considered in the differential diagnosis of nontraumatic subperiosteal orbital hematoma.",
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AB - We present a case with a nontraumatic subperiosteal orbital hematoma as a presenting sign of chronic myelogenous leukemia. A previously healthy 34 year-old man presented with a 2-day history of right upper eyelid swelling. CT scan revealed a subperiosteal mass, and routine blood tests revealed a white blood cell count of 290,000/μl with normal platelet count. Chronic myelogenous leukemia was diagnosed based on a subsequent bone marrow biopsy. After orbitotomy and evacuation of the hematoma, the patient's visual acuity and motility returned to normal. In conclusion, chronic myelogenous leukemia should be considered in the differential diagnosis of nontraumatic subperiosteal orbital hematoma.

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