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  Vol. 120 No. 12, December 2002 TABLE OF CONTENTS
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  Clinicopathologic Reports, Case Reports, and Small Case Series
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Acute Myeloid Leukemia Manifesting Initially as a Conjunctival Mass in a Patient With Acquired Immunodeficiency Syndrome

Arch Ophthalmol. 2002;120:1741.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The ophthalmic manifestations of human immunodeficiency virus (HIV) infection range from molluscum contagiosum of the eyelid to cotton-wool spots of the retina.1-4 Additionally, HIV infection is associated with several opportunistic cancers of the eye and orbit,2 including conjunctival squamous cell carcinoma,3 Kaposi sarcoma,4 and non-Hodgkin lymphoma.4 In this report, we illustrate the rare association of HIV infection with acute myeloid leukemia that manifested initially as an epibulbar mass.

Report of a Case

A 47-year-old African American man with acquired immunodeficiency syndrome (AIDS) who was being treated with highly active antiretroviral therapy developed bilateral pink conjunctival lesions during a 2-week period. There were 3 lesions noted on the bulbar conjunctiva of each eye (Figure 1). The subconjunctival tumors measured up to 7 mm in basal diameter and 2 mm in thickness and had no apparent intrinsic vasculature. Dilated, tortuous blood vessels fed each tumor. Visual acuity was 20/20 OU, and both fundi were . . . [Full Text of this Article]


Comment
Corresponding author: Carol L. Shields, MD, Oncology Service, Wills Eye Hospital, 900 Walnut St, Philadelphia, PA 19107.



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