Atypical Inflammatory Orbital Pseudotumor with Acute Pneumonic Infiltrates.

Hyun, Gil Hwa; Han, Soo Kyung

Case Report

Journal of the Korean Ophthalmological Society 2001;42(12):1798-1802.
Published online December 1, 2001.

Atypical Inflammatory Orbital Pseudotumor with Acute Pneumonic Infiltrates.

Department of Ophthalmology, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea. lidorbit@hanmail.net

폐침윤을 동반한 비특이적 안와 위종양 1 예

현길화(Gil Hwa Hyun),한수경(Soo Kyung Han)

Abstract

PURPOSE
Orbital pseudotumor is a nonspecific benign orbital inflammation without evidence of specific local or systemic cause. Orbital pseudotumor rarely displays predominant tissue eosinophilia without vasculitis. We report this rare case of eosinophilic orbital pseudotumor associated with acute pneumonic infiltrates. METHODS: A 27-year-old man visited our clinic because of painless swelling of the upper and lower lid and proptosis which developed 10 days ago. Subconjunctival mass showed severe eosinophilic infiltration, mild proliferation of capillaries, and non-necrotic vasculitis. We started steroid treatement under the diagnosis of atypical orbital pseudotumor with acute pneumonic infiltrates. RESULTS: At four days after starting steroid treatment, swelling of lids, proptosis and pulmonary infiltration disappeared. At four months there was no evidence of recurrence with the cessation of steroid.

Key Words: Eosinophilia;Orbital pseudotumor;Pneumonia