Syndrome de Lofgren revele par une tumeur palpebrale

ABSTRACT

The Lofgren syndrom is a particular variety of sarcoidose. The ocular attack is dominated in this syndrom by anterior uveitis. More rarely the eyelids and the orbitary structures ore attached. Purpose In this work, we report a lofgren syndrom case revealed by eyelid tumor. Observation It is about 42 year-oid patient who consults for a right inferior eye-lid tumefaction developped for 2 months. The diagnosis of Lofgren syndrome was evoqued because of the association of fever, arthritis, erythema nodosum, tuberculin anergia, hypercalcinuria and mediastinal adenopathy at thoracic scan-tomography. The diagnosis was then confirmed by biopsy of palpebral tumor which showed multiple epithe-lioid and gigantocellulor granuloma without caseous necrosis. Conclusion The Lofgren syndrome is a multivisceral chronic affection. The eye and its annexes constitute frequent cibles of this affection for which they react by a diverse and rich symptomalogy and which can be presented by eye-lid tumors with orbital extension