J Med Assoc Thai 2001; 84 (9):1351

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Uveitis in a Child: Masquerade Syndrome Revisit
Atchaneeyasakul L Mail, Tarinvorakup P , Trinavarat A , Dulayajinda D , Uiprasertkul M

We present a case of relapsing acute lymphoblastic leukemia (ALL) in the anterior
chamber, uveitis masquerade syndrome, which was confirmed by anterior chamber paracentesis
and aqueous fluid cytology. Three months previously, the patient developed anterior uveitis without
hematologic relapse. The uveitis responded well to topical steroid. After anterior chamber para-
centesis, bone marrow relapse was detected. High doses of chemotherapy were prescribed. Ocular
radiation was planned but the patient developed septicemia and expired. In our opinion, para-
centesis should be performed without delay when uveitis develops in ALL, regardless of systemic
relapse. Ocular manifestation may be the only sign of leukemic relapse or may present several
months prior to systemic relapse.
Key word : Uveitits Masquerade Syndrome, Leukemia, Paracentesis

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