Open AccessAtypical presentation and diagnostic pitfalls: A case of rapidly progressive bilateral proptosis in a child aged 18 months
Author(s) -
Smitha Bhat,
Sujita Shrestha,
Rimli Barthakur,
Maya Natarajan
Publication year - 2008
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.37602
Subject(s) - medicine , presentation (obstetrics) , radiation therapy , lymphoma , case presentation , pediatrics , chemotherapy , surgery , pathology
We report an atypical presentation of non-Hodgkin lymphoma (NHL) in a child aged 18 months who presented with rapidly progressive bilateral proptosis. Computerized search using Medline did not reveal a similar presentation of NHL in such a young child. It stresses the need for an early histopathological study including immunohistochemistry and demonstrates the dramatic local response to combined radiotherapy and chemotherapy even in advanced stages without any ocular side-effects.