PMC4531946_01
Ophthalmic examination by slit lamp showing ectopia lentis in right eye.
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An ophthalmic examination by slit lamp showed lower lens zonular fibers due to mild upward displacement of lens in both eyes, that is, ecopia lentis, but he had adequate vision (Fig. 1).
Echocardiogram (left parasternal long axis view) showing the prolapse of posterior mitral leaflet and mitral regurgitation.
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AP roentgenogram showed arachnodactyly (Fig. 2).
Bone marrow aspiration smear showing markedly increased blasts. (Wright stain, X1,000)
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A radiograph of spine showed no scoliosis and kyphosis. An echocardiogram revealed the prolapse of posterior mitral leaflet and mitral regurgitation, but not aortic regurgitation and dissection (Fig. 3).
Bone marrow aspiration smear reveals that most of leukemic cells are positive for NSE. (NSE stain, X400)
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Findings on bone marrow examination showed that most of the nucleated cells were monoblasts (Fig. 4a) that were negative on myeloperoxidase and chloracetate esterase staining but demonstrated positivity on staining with non-specific esterase (Fig. 4b).