title: Facial features of widespread neuroblastoma: a case report.
abstract: A case report of stage IV neuroblastoma which presented with periorbital swelling and ecchymosis originally misdiagnosed as facial trauma. The child soon developed a sinister pancytopenia, which following extensive investigations was revealed to be due to an underlying neuroblastoma. Periorbital ecchymosis associated with neuroblastoma is termed 'raccoon eyes' and is a diagnostic trap for the unwary.
authors.affiliation: Department of Maxillofacial and Dental Surgery, Great Ormond Street Hospital for Children, London, UK.
authors.forename: J F
authors.initials: JF
authors.lastname: Cliff
authors.forename: L
authors.initials: L
authors.lastname: Newman
authors.forename: M
authors.initials: M
authors.lastname: Malone
authors.forename: G
authors.initials: G
authors.lastname: Brady
authors.forename: S J
authors.initials: SJ
authors.lastname: Crean
mesh_terms: D001018:Aortic Diseases / Q000175:diagnosis; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004438:Ecchymosis / Q000175:diagnosis; D005151:Facial Injuries / Q000175:diagnosis; D005153:Facial Neoplasms / Q000175:diagnosis* / Q000556:secondary; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D009447:Neuroblastoma / Q000175:diagnosis* / Q000556:secondary; D009916:Orbital Diseases / Q000175:diagnosis; D010198:Pancytopenia / Q000175:diagnosis; D019043:Vascular Neoplasms / Q000175:diagnosis