Archivos de la Sociedad Espanola de Oftalmologia · 2012
[Necrobiotic xanthogranuloma. Differential diagnosis, treatment and systemic involvement. Case report].
Клинический случайАннотация на английскомИсторическая статьяСтатьяНазвание и аннотация: Перевод в очереди
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Sanz-Marco E, España E, López-Prats M J, Chirivella-Casanova M, Aviño J, Díaz-Llopis M
Аннотация
CASE REPORT: A 48-year-old male was referred to our hospital for further evaluation of eyelid edema with bilateral yellowish ulcerated nodules. Suspecting a xanthogranulomatosis, imaging tests and biopsy were performed with diagnosis of necrobiotic xanthogranuloma. IgG monoclonal gammapathy was diagnosed in a systemic study. Systemic corticosteroids and cyclosporine were initiated unsuccessfully; therefore intra-lesional injections of triamcinolone were started, which controlled the orbital disease.
DISCUSSION: Necrobiotic xanthogranuloma is a rare condition that usually affects the eyelids and anterior orbit. Its diagnosis is important as it is associated with malignant lymphoproliferative processes. Intra-lesional corticosteroids were effective in our patient.
DISCUSSION: Necrobiotic xanthogranuloma is a rare condition that usually affects the eyelids and anterior orbit. Its diagnosis is important as it is associated with malignant lymphoproliferative processes. Intra-lesional corticosteroids were effective in our patient.