Case Report: Orbital Tumor Revealing Adult T-Cell Leukemia/Lymphoma Associated with Human T-Cell Lymphotropic Virus Type-1

被引:6
作者
Fares, Selim [1 ]
Hage, Rabih [1 ]
Pegliasco, Jean [2 ]
Chraibi, Samy [2 ]
Merle, Harold [1 ]
机构
[1] Martinique Univ Hosp, Dept Ophthalmol, Fort De France, Martinique, France
[2] Martinique Univ Hosp, Dept Hematol, Fort De France, Martinique, France
关键词
OCULAR MANIFESTATIONS; LEUKEMIA-LYMPHOMA; INFECTION; SURVIVAL; UVEITIS;
D O I
10.4269/ajtmh.17-0137
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Adult T-cell Leukemia/Lymphoma (ATLL) is a sight-and life-threatening complication of human T-cell lymphotropic virus type 1 (HTLV-1) infection. Ophthalmic manifestations include uveitis, optic nerve oedema, retinal vasculitis, and lymphomatous infiltration. Orbital lesions are rare. We report the case of an orbital tumor revealing systemic ATLL in a 45-year-old Dominican patient who died despite treatment. Apart from late-grade cutaneous T-cell lymphoma, ATLL is the only T-lymphoma to develop in the orbit. Diagnosis is based on serologic evidence of HTLV-1 infection, cytology, and blood sample analysis. Biopsy is deemed necessary. Given the poor prognosis of ATLL and the worldwide presentation of HTLV-1, physicians should consider ATLL in the differential diagnosis of orbital malignant tumor and look for HTLV-1 infection in populations at risk.
引用
收藏
页码:435 / 438
页数:4
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