Manifestación orbitaria de la enfermedad de Wegener

  1. JC Pinto Bonilla
  2. A Lanuza García
  3. E Hernández Galilea
  4. G Günes
  5. MC Arias López
Zeitschrift:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Datum der Publikation: 2004

Ausgabe: 79

Nummer: 5

Seiten: 243-246

Art: Artikel

DOI: 10.4321/S0365-66912004000500009 DIALNET GOOGLE SCHOLAR lock_openOpen Access editor

Andere Publikationen in: Archivos de la Sociedad Española de Oftalmologia

Zusammenfassung

Case report: Patient who consults for a recidivant orbital mass. Preliminary clinical and image studies suggested an initial differential diagnosis between a lachrymal gland tumor or an orbital located pseudotumor. However, the clinical evolution of the case required a re-evaluation of the preliminary diagnosis. The clinical, histologic and serologic findings were key in the final diagnosis. Discussion: Wegener´s granulomatosis is a necrotizing vasculitis. Classically it affects the upper airways, lungs and kidneys. Between 30% and 70% of patients present ophthalmic symptoms during the course of the illness. Ophthalmic affectation prior to systemic manifestations is less frequent and could delay final diagnosis.

Bibliographische Referenzen

  • Carulla, M, Prat, J, Vidaller, A, Carrera, M. (2001). Pseudotumor orbitario bilateral en paciente con enfermedad de Wegener localizada. Annals d´oftalmologia. 9. 36-39
  • Perry, SR, Rootman, J, White, VA. (1997). The clinical and pathologic constellation of Wegener granulomatosis of the orbit. Ophthalmology. 104. 683-694
  • Kool, J, de Keizer, RJ, Siegert, CE. (1999). Antithymocyte globulin treatment of orbital Wegener granulomatosis: a follow-up study. Am J Ophthalmol. 127. 738-739
  • Kamei, M, Yasuhara, T, Tei, M, Sano, Y, Yoneda, K, Kinoshita, S. (2001). Vitreous hemorrhage from ciliary granuloma associated with Wegener granulomatosis. Am J Ophthalmol. 132. 924-926
  • Miserocchi, E, Waheed, NK, Baltatzis, S, Foster, CS. (2001). Chronic cicatrizing conjunctivitis in a patient with ocular cicatricial pemphigoid and fatal Wegener granulomatosis. Am J Opthalmol. 132. 923-924