Bilateral proptosis as an early manifestation of juvenile myelomonocitic leukemia in an African child

We report bilateral proptosis as the unusual initial presentation of juvenile myelomonocytic leukemia in a Ugandan child. Juvenile was diagnosed with complete blood count and bone marrow aspiration biopsy. This is first description orbital involvement occurring setting leukemia, despite leukemic infiltration relatively common middle East, Asia, Africa. In general, simultaneous neoplastic both orbits at also rare finding, bur appears to be highly likely children.