Bilateral proptosis as initial manifestation of granulocytic sarcoma in a child

Abstract

Proptosis in the pediatric age-group can augur an ominous underlying pathology. These patients should be investigated promptly and thoroughly to rule out life-threatening disorders such as leukemia. This can mean the difference between life and death. Granulocytic sarcoma, earlier known as chloroma or extramedullary myeloblastoma is usually seen in patients with acute myeloid leukemia (AML). It can either precede or emerge in conjunction with the systemic disease. One of the extramedullary locations is the orbits, more so in children. Here, we present a case of bilateral proptosis in a child due to extramedullary deposits of AML. Despite the best possible treatment measures, she succumbed to her disease process 5 months from the presentation.

Keywords

• granulocytic sarcoma
• leukemia
• pediatric
• proptosis