| Identifier |
walsh_2013_s1_c4 |
| Title |
A Wolf in Bear's Clothing |
| Creator |
Peter W. MacIntosh, Agatha Bogard, Pete Setabutr, Heather E. Moss |
| Subject |
Myeloid sarcoma; Abdominal mass; Orbital tumor; Child |
| Presenting Symptom |
An eleven-month-old African-American girl with medical history of reactive airway disease developed a bump and bags under both eyes which her mother attributed to minor trauma. |
| History |
An eleven-month-old African-American girl with medical history of reactive airway disease developed a bump and bags under both eyes which her mother attributed to minor trauma. There were no signs of systemic illness. A week later, her mother noticed more prominent right eye edema and a new bump behind the right ear with crusting and tearing of the right eye. |
| Clinical |
On exam, the patient averted to light and fixed and followed with either eye, pupils were equal, round and reactive to light; Right hypertropia with resistance to retropulsion; 2+ right lid edema and ptosis and trace left lid edema and ptosis; Abdominal exam revealed a right-sided mass; CT examination of the orbits revealed bilateral orbital and paranasal sinus masses with spiculations, calcifications and osseous destruction; MRI studies confirmed multiple T1 and T2 hypointense extra-axial masses of the calvarium, skull base and bones of the face, particularly involving the orbits, which enhanced with contrast and were slightly diffusion restricted; CT of the abdomen demonstrated right adrenal and rib masses |
| Neuroimaging |
MRI |
| Pathology |
Presentation and imaging were classic for metastatic neuroblastoma. |
| Disease/Diagnosis |
Myeloid Sarcoma |
| References |
Attached |
| Relation is Part of |
Case presented at the NANOS 2013 Walsh Session, February 10 |
| Contributor Primary |
Bruce, Beau B |
| Contributor Secondary |
Phillips, Paul H |
| Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Date |
2013-02-10 |
| Type |
Text |
| Format |
application/pdf |
| Source |
45th Annual Frank Walsh Society Meeting |
| Holding Institution |
North American Neuro-Ophthalmology Association (NANOS), Copyright 2013. For further information regarding the rights to this collection, please visit http://library.med.utah.edu/NOVEL |
| Collection |
Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu |
| Language |
eng |
| ARK |
ark:/87278/s6w986sh |
| Setname |
ehsl_novel_fbw |
| ID |
179152 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6w986sh |
