ACUTE LYMPHOBLASTIC LEUKEMIA PRESENTING AS ACUTE VOGT- KOYANAGI-HARADA SYNDROME
Dr. Neha Thakur and Dr. Pranidhi Sharda*
We aim to describe a case of acute lymphoblastic leukemia (ALL) that presented as Vogt-Koyanagi-Harada syndrome (VKH). A 70-year-old man presented with vision loss starting 1 week ago. There was no prior systemic or ocular history. Visual acuity was 20/200 in both eyes. Anterior segment exam was also normal in both eyes. On funduscopy, foveal reflex was significantly reduced. On optical coherence tomography, subretinal fluid was evident in both eyes. Fluorescein angiography showed a hypofluorescent area compatible with subretinal fluid and multiple pinpoint hyper- and hypofluorescent dots surrounding the detached retina. After 4 days, patient was admitted to a general hospital due to spontaneous ecchymosis and melena. On complete blood count, there was a high white cell count, thrombocytopenia, and low hemoglobin concentration with a probable diagnosis of leukemia. On bone marrow biopsy, ALL with B-cell precursor was confirmed.
Keywords: funduscopy, foveal reflex.
[Full Text Article]