Unilateral Blurred Vision as the Sole Presenting Symptom of Chronic Lymphocytic Leukemia

A chronic eosinophilic leukemia patient presenting with blurred vision.

Chronic lymphocytic leukemia presenting as purpura fulminans.

A 61-yearold man presented with ecchymoses over his knees and ear lobes. Physical examination on admission reveled an ill-looking man. Multiple areas of ecchymoses were seen over his knees and ear lobes. There were remarkable necrotic areas on the ecchymoses (Figure: 1,2). Other pertinent physical findings inluded an enlarged spleen palpable 5 cm below the left costal margin, multiple palpable ...

Chronic lymphocytic leukemia presenting as unilateral extraocular muscle enlargement and proptosis

Orbital involvement in chronic lymphocytic leukemia (CLL) is rare with very few published cases. We describe a case of unilateral isolated extraocular muscle enlargement in a patient with CLL. An incisional biopsy was performed from the left medial rectus muscle and histology revealed a lymphocytic infiltrate suggestive of CLL. Complete resolution of signs and symptoms was subsequently achieved...

Headache as the sole presenting symptom of acute myocardial infarction.

www.japi.org 83 Headache as the Sole Presenting Symptom of Acute Myocardial Infarction Sir, The International Classification of Headache Disorders does not include Acute Myocardial Infarction (AMI) or Acute Coronary Syndrome (ACS) as one of the rare causes of headache.1 On review of the literature it has been observed that it is very rare for patients with AMI or ACS to present with headache as...

Disorders presenting with headache as the sole symptom.

Headache is one of the commonest medical complaints, and ranks high among the reasons why people consult neurologists and general practitioners. Most headache patients are, however, managed suboptimally; and indeed, many neurologists find outpatient headache management one of the least engaging parts of their job. Headache may present as part of a symptom complex or it may present alone. When i...