RESUMEN
A 58-year-old-man presented with painful rapidly progressive bilateral proptosis with restricted ocular movements of 15 days duration. There was history of significant weight loss in the recent past. Computed tomography scan of the head and orbit revealed bilateral multiple, well-defined, round, soft tissue masses, isointense with muscles in intraconal and extraconal space. Fine needle aspiration cytology and incision biopsy from the lesion, urine for Bence-Jones proteins and immunofixation clinched the diagnosis of multiple myeloma. Skeletal survey did not reveal any bony involvement.The diagnosis of multiple myeloma should be kept in mind in cases of bilateral proptosis. Bony involvement is not universal in cases of orbital myeloma. Early diagnosis can be established with extensive biochemical and histopathological investigations and timely treatment is life saving for these patients.
Asunto(s)
Antineoplásicos/uso terapéutico , Biopsia con Aguja Fina , Diagnóstico Diferencial , Exoftalmia/diagnóstico , Exoftalmia/etiología , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Mieloma Múltiple/complicaciones , Mieloma Múltiple/diagnóstico , Mieloma Múltiple/tratamiento farmacológico , Inducción de Remisión , Tomografía Computarizada por Rayos XRESUMEN
A case of a 56 year old lady presenting clinically with a slow growing painless mass of the left lacrimal gland, the histopathplogical examination of which was consistent with a diagnosis of tubercular dacryoadenitis, is described. Tubercular dacryoadenitis is uncommon, with the diagnosis usually made on histological examination of the lacrimal gland. Other cases of tubercular dacryoadenitis reported in literature are also reviewed.
Asunto(s)
Dacriocistitis/diagnóstico , Femenino , Humanos , Aparato Lagrimal/patología , Persona de Mediana Edad , Tomografía Computarizada por Rayos X , Tuberculosis Ocular/diagnósticoRESUMEN
A rare case of choroidal melanoma with exudative retinal detachment and a full-thickness macular hole is reported in an Indian patient.
Asunto(s)
Neoplasias de la Coroides/complicaciones , Femenino , Angiografía con Fluoresceína , Fondo de Ojo , Humanos , Imagen por Resonancia Magnética , Melanoma/complicaciones , Persona de Mediana Edad , Desprendimiento de Retina/complicaciones , Perforaciones de la Retina/complicaciones , Tomografía Computarizada por Rayos X , Ultrasonografía Doppler en ColorRESUMEN
An unusual case of posterior scleritis mimicking macular serpiginous choroiditis is reported.
Asunto(s)
Adulto , Coroiditis/diagnóstico , Diagnóstico Diferencial , Angiografía con Fluoresceína , Glucocorticoides/uso terapéutico , Humanos , Masculino , Prednisolona/uso terapéutico , Escleritis/diagnóstico , Agudeza VisualRESUMEN
A superomedial orbital dermal cylindroma in an adult female is described.
Asunto(s)
Carcinoma Adenoide Quístico/patología , Diagnóstico Diferencial , Femenino , Humanos , Persona de Mediana Edad , Procedimientos Quirúrgicos Oftalmológicos , Neoplasias Orbitales/patología , Neoplasias Cutáneas/patología , Resultado del TratamientoAsunto(s)
Ojo , Humanos , India , Motivación , Donantes de Tejidos , Obtención de Tejidos y Órganos/métodosRESUMEN
This report describes a rare case of hypertensive retinopathy with choroidopathy secondary to bilateral renal artery stenosis in a young non-pregnant female patient.