Saira Saad, Mazhar Badshah, Muhammad Tariq Muhammad Irshad Awan, Sohail Rao, Mansoor Iqbal, Harris Majid Rajput, Zakir Jan.
Leukemia with ptosis.
Pak J Neurological Sci Jan ;7(4):14-14.

Leukemias are the heterogeneous group of disorders of hematopoietic system, characterized by presence of blast cells in bone marrow and peripheral blood. Leukemias frequently present with fever, weight loss, pallor, easy fatigue-ability, bruising, and spontaneous bleeding. CNS manifestations are very uncommon, and are either treatment related or late manifestations1,2,3,4. Objective: To report the case of a 50-year-old lady who presented with ptosis and was later diagnosed as a case of leukemia. Case Report: 50 year old female presented with complete bilateral painless ptosis of sudden onset preceded by high grade intermittent fever. Her blood complete picture showed bicytopenia with blast cells on peripheral smear. After bone marrow biopsy the diagnosis of acute lymphoblastic leukemia L3 was established. Conclusion: Ptosis is a common manifestation of third nerve palsy, neuromuscular disorders and orbital pathology. However a broader perspective must be maintained while evaluating the causes of ptosis as a systemic disease like leukemia can also present with ptosis.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com