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Acute leukaemia presenting as acute mastoiditis

HEAD and neck manifestations of acute leukaemia are not uncommon. Oral and pharyngeal ulceration is well known. Cases have been reported presenting in the larynx (Shilling, 1967; Jones, 1968), nose (Sanford, 1967) and eye (Bregeat, 1966). However, cases presenting in the ear are rare. Feinmessert (1956) described acute leukaemia in a boy aged 11 years which presented as acute otitis media. Stewart (1965) reported a conductive deafness due to a leukaemic deposit in the outer ear canal. Mari (1965) described a case presenting with acute mastoiditis, subdural haematoma and lateral sinus thrombosis.