AI Article Synopsis

  • A 25-year-old woman displayed aggressive symptoms of atypical T-cell lymphoproliferative infiltration, starting with preretinal infiltrates that mimicked uveitis.
  • The patient's condition deteriorated, leading to severe complications, including bilateral proptosis and other neurological signs.
  • The case highlights that T-cell lymphoproliferative disease can present in unusual ways and should be considered in patients showing unusual ocular symptoms.

Article Abstract

Purpose: To report an aggressive and rapidly progressive case of atypical T-cell lymphoproliferative infiltration both with intraocular and orbital involvement and preretinal infiltrates.

Methods: Medical records and imaging of the patient were retrospectively reviewed.

Case Presentation: A 25-year-old woman presented first with preretinal infiltrates resembling uveitis and developed orbital and intracranial signs eventually during her evaluation. Clinical presentation worsened gradually. The patient developed bilateral proptosis, pupillary dilation and uvula deviation. Diagnostic orbital incision biopsy revealed T-cell lymphoproliferative disease.

Conclusion: This case gives evidence that intraocular involvement due to T-cell lymphoproliferative disease may present as a masquerade syndrome and should be kept in mind in patients with extraordinary presentation.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462703PMC
http://dx.doi.org/10.3205/oc000242DOI Listing

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