Evidence map›Paper›PMID 39589180›Full record

ArticleCancer reports (Hoboken, N.J.)2024

Beyond the Surface: A Unique Presentation of Acute Promyelocytic Leukemia as Idiopathic Intracranial Hypertension: A Case Report.

Amirhossein Mirhosseini, Mirmassoud Shariat, Mandana Ebrahimi, Negar Saeedy, Behnaz Nouri

Abstract readCase Reports
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Amirhossein MirhosseiniDepartment of Clinical Hematology and Oncology, Faculty of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Mirmassoud ShariatNeurology Department, Clinical Research Development Unit of Imam Ali Hospital, Alborz University of Medical Sciences, Karaj, Iran.
Mandana EbrahimiDepartment of Internal Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Negar SaeedyDepartment of Internal Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Behnaz NouriStudent Research Committee, Clinical Research Development Unit of Imam Ali Hospital, Alborz University of Medical Sciences, Karaj, Iran.ORCID 0000-0003-4146-6336

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute promyelocytic leukemia (APL) is a subtype of acute myeloid leukemia defined by a fusion gene transcript called PML::RARA. Pseudotumor cerebri (PTC) is characterized by elevated intracranial pressure (ICP) and presents with pulsatile tinnitus, headaches, and visual disturbances. Pseudotumor cerebri has been observed in some patients undergoing long-term ATRA therapy. While both APL and PTC have been individually described in the literature, their coexistence in a single patient, especially with PTC being the first clinical manifestation of APL, is an exceptionally rare occurrence, making this case particularly unique and warranting further investigation. CASE PRESENTATION: We present the case of a 30-year-old woman who initially presented with symptoms suggestive of PTC. The diagnosis of PTC was confirmed through a lumbar puncture. However, further investigations revealed that the patient had APL, which is typically sensitive to treatment with all-trans-retinoic acid (ATRA). To our knowledge, the association between APL and PTC as the first clinical manifestation of APL in adult patients has not been previously reported in the literature, further highlighting the exceptional rarity of this case.

conclusionsThis case underscores the importance of considering underlying systemic diseases in patients presenting with PTC, as it may represent an exceptionally rare initial manifestation of a rare underlying malignancy such as APL. The coexistence of APL and PTC in this patient highlights the need for a comprehensive evaluation and management approach to promptly diagnose and treat coexisting conditions. Healthcare providers must be aware of this association and consider the possibility of APL when evaluating patients with PTC symptoms. Such awareness can prompt timely recognition and appropriate management, thereby improving patient outcomes and preventing potential delays in diagnosis and treatment.

Indexed as

Leukemia, Promyelocytic, AcutePseudotumor CerebriAdultFemaleHumansTretinoinTretinoinacute promyelocytic leukemiaall‐trans‐retinoic acididiopathic intracranial hypertensionpseudotumor cerebri (ptc)

Identifiers

PMID39589180
PMCPMC11590332

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