Résumé
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.
Sujets)
Antinéoplasiques/usage thérapeutique , Cytoponction , Diagnostic différentiel , Exophtalmie/diagnostic , Exophtalmie/étiologie , Études de suivi , Humains , Mâle , Adulte d'âge moyen , Myélome multiple/complications , Myélome multiple/diagnostic , Myélome multiple/traitement médicamenteux , Induction de rémission , TomodensitométrieRésumé
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.
Sujets)
Dacryocystite/diagnostic , Femelle , Humains , Appareil lacrymal/anatomopathologie , Adulte d'âge moyen , Tomodensitométrie , Tuberculose oculaire/diagnosticRésumé
A rare case of choroidal melanoma with exudative retinal detachment and a full-thickness macular hole is reported in an Indian patient.
Sujets)
Tumeurs de la choroïde/complications , Femelle , Angiographie fluorescéinique , Fond de l'oeil , Humains , Imagerie par résonance magnétique , Mélanome/complications , Adulte d'âge moyen , Décollement de la rétine/complications , Perforations de la rétine/complications , Tomodensitométrie , Échographie-doppler couleurRésumé
An unusual case of posterior scleritis mimicking macular serpiginous choroiditis is reported.
Sujets)
Adulte , Choroïdite/diagnostic , Diagnostic différentiel , Angiographie fluorescéinique , Glucocorticoïdes/usage thérapeutique , Humains , Mâle , Prednisolone/usage thérapeutique , Sclérite/diagnostic , Acuité visuelleRésumé
A superomedial orbital dermal cylindroma in an adult female is described.
Sujets)
Carcinome adénoïde kystique/anatomopathologie , Diagnostic différentiel , Femelle , Humains , Adulte d'âge moyen , Procédures de chirurgie ophtalmologique , Tumeurs de l'orbite/anatomopathologie , Tumeurs cutanées/anatomopathologie , Résultat thérapeutiqueSujets)
Oeil , Humains , Inde , Motivation , Donneurs de tissus , Acquisition d'organes et de tissus/méthodesRésumé
This report describes a rare case of hypertensive retinopathy with choroidopathy secondary to bilateral renal artery stenosis in a young non-pregnant female patient.