Orbital T-Cell Lymphoma with Discrete Enlargements of All Extraocular Muscles Bilaterally in Patient with Moon Face Countenance
Joint Authors
Mochizuki, Kiyofumi
Kawakami, Hideaki
Goto, Hideko
Watanabe, Naoki
Tanaka, Takuji
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-04-09
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Purpose.
To report our findings in a case of orbital T-cell lymphoma in which all of the extraocular muscles (EOMs) were bilaterally and discretely enlarged and the patient had a moon face countenance.
Case.
A 59-year-old woman presented with visual disturbances in her left eye, hyperemia in both eyes, and a moon face countenance.
Examinations showed limited upward gaze in the right eye, blepharoptosis, hypertropia, and limited downward and rightward gaze in the left eye.
Slit-lamp examination showed only chemosis and hyperemia of both eyes.
Magnetic resonance imaging with contrast revealed discrete enlargements of the muscle bellies in all EOMs without abnormalities of the orbital fat in both eyes.
Blood examinations excluded thyroid- and IgG4-related ophthalmopathy, and EOM biopsy revealed peripheral T-cell lymphoma.
After beginning aggressive chemotherapy, the enlarged EOMs, limited eye motility, and moon face countenance improved.
Unfortunately, the patient died of sepsis during the chemotherapy.
Conclusions.
A lymphoma should be included in the differential diagnosis of eyes with enlarged EOMs.
Because lymphomas can lead to death, it is important for clinicians to consider lymphomas in eyes with enlarged EOMs.
American Psychological Association (APA)
Kawakami, Hideaki& Mochizuki, Kiyofumi& Goto, Hideko& Watanabe, Naoki& Tanaka, Takuji. 2017. Orbital T-Cell Lymphoma with Discrete Enlargements of All Extraocular Muscles Bilaterally in Patient with Moon Face Countenance. Case Reports in Ophthalmological Medicine،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1148077
Modern Language Association (MLA)
Kawakami, Hideaki…[et al.]. Orbital T-Cell Lymphoma with Discrete Enlargements of All Extraocular Muscles Bilaterally in Patient with Moon Face Countenance. Case Reports in Ophthalmological Medicine No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1148077
American Medical Association (AMA)
Kawakami, Hideaki& Mochizuki, Kiyofumi& Goto, Hideko& Watanabe, Naoki& Tanaka, Takuji. Orbital T-Cell Lymphoma with Discrete Enlargements of All Extraocular Muscles Bilaterally in Patient with Moon Face Countenance. Case Reports in Ophthalmological Medicine. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1148077
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148077