Acute blindness as a presenting sign in childhood Non-Hodgkin lymphoma

Non-Hodgkin lymphoma is the third most common malignancy in childhood. Occasionally, a patient with lymphoma may present with neuroophthalmologic symptoms and signs. It is usually associated with 3rd, 4th, and 6th cranial nerve palsies. Here, we report three children presenting with loss of vision....

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Veröffentlicht in:Journal of pediatric hematology/oncology 2003, Vol.25 (1), p.69-72
Hauptverfasser: GÜLER, Elif, KUTLUK, Tezer, AKALAN, Nejat, AKYÜZ, Canan, ATAHAN, Lale, BÜYÜKPAMUKCU, Münevver
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container_end_page 72
container_issue 1
container_start_page 69
container_title Journal of pediatric hematology/oncology
container_volume 25
creator GÜLER, Elif
KUTLUK, Tezer
AKALAN, Nejat
AKYÜZ, Canan
ATAHAN, Lale
BÜYÜKPAMUKCU, Münevver
description Non-Hodgkin lymphoma is the third most common malignancy in childhood. Occasionally, a patient with lymphoma may present with neuroophthalmologic symptoms and signs. It is usually associated with 3rd, 4th, and 6th cranial nerve palsies. Here, we report three children presenting with loss of vision. Two of them were cured with modified LMB-89 (lymphoma malignant B) chemotherapy regimen and radiotherapy. In one patient, loss of vision returned to normal in the left eye but persisted in the right eye. The second patient suffered from permanent visual loss, although the primary disease responded well to treatment. Unfortunately, the third patient died at an early phase of treatment. Acute blindness as a presenting symptom is rare in lymphoma. Early diagnosis and treatment is critical to increase the survival rate and to improve the quality of the vision.
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Occasionally, a patient with lymphoma may present with neuroophthalmologic symptoms and signs. It is usually associated with 3rd, 4th, and 6th cranial nerve palsies. Here, we report three children presenting with loss of vision. Two of them were cured with modified LMB-89 (lymphoma malignant B) chemotherapy regimen and radiotherapy. In one patient, loss of vision returned to normal in the left eye but persisted in the right eye. The second patient suffered from permanent visual loss, although the primary disease responded well to treatment. Unfortunately, the third patient died at an early phase of treatment. Acute blindness as a presenting symptom is rare in lymphoma. 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Occasionally, a patient with lymphoma may present with neuroophthalmologic symptoms and signs. It is usually associated with 3rd, 4th, and 6th cranial nerve palsies. Here, we report three children presenting with loss of vision. Two of them were cured with modified LMB-89 (lymphoma malignant B) chemotherapy regimen and radiotherapy. In one patient, loss of vision returned to normal in the left eye but persisted in the right eye. The second patient suffered from permanent visual loss, although the primary disease responded well to treatment. Unfortunately, the third patient died at an early phase of treatment. Acute blindness as a presenting symptom is rare in lymphoma. Early diagnosis and treatment is critical to increase the survival rate and to improve the quality of the vision.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>12544777</pmid><doi>10.1097/00043426-200301000-00014</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Acute Disease
Adolescent
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Blindness - diagnosis
Blindness - etiology
Blindness - therapy
Child
Child, Preschool
Hematologic and hematopoietic diseases
Humans
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphoma, Non-Hodgkin - complications
Lymphoma, Non-Hodgkin - diagnosis
Lymphoma, Non-Hodgkin - therapy
Male
Medical sciences
Radiotherapy, Adjuvant
title Acute blindness as a presenting sign in childhood Non-Hodgkin lymphoma
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