만성 골수성 백혈병의 첫 번째 임상증상으로 나타난 망막 혈관병증 1예

• 영문명: Retinal Vasculopathy as First Manifestation of Chronic Myelogenous Leukemia
• 발행기관: 대한안과학회
• 저자명: 김인태 권진우,In Tae Kim, MD, Jin Woo Kwon, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number9, 1418~1422쪽, 전체 5쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2009.09.15

영문 초록

Purpose: To present a case of bilateral retinal vasculopathy as the first manifestation of chronic myelogenous leukemia. Case summary: A 59-year-old man with no medical history such as diabetes, hypertension and no ocular history complained of decreased visual acuity for 1 month. Fundus examinations showed diffuse multiple dot and blot hemorrhages over the panretina of both eyes and vessels showed tortuous vascular changes. The fluorescein angiogram was evaluated, and showed diffuse microaneurysms at the peripheral retina and posterior pole. Hematologic and biochemical examinations as well as a carotid sonogram were performed based on the possibility of systemic disease. The patient showed hematologic abnormality and therefore was transferred to internal medicine for diagnosis of chronic myelogenous leukemia. Conclusions: The authors examined a chronic leukemia patient, who showed bilateral retinal vasculopathy as the first manifestation of chronic myelogenous leukemia. This case shows the importance of considering the possibility of systemic disease.

키워드

Chronic myelogenous leukemia, Retinal vasculopathy in leukemia