[Orbital manifestation of Wegener's granulomatosis].
METHODS
Patient who consults for a recidivant orbital mass. Preliminary clinical and image studies suggested an initial differential diagnosis between a lachrymal gland tumor or an orbital located pseudotumor. However, the clinical evolution of the case required a re-evaluation of the preliminary diagnosis. The clinical, histologic and serologic findings were key in the final diagnosis.


CONCLUSIONS
Wegener's granulomatosis is a necrotizing vasculitis. Classically it affects the upper airways, lungs and kidneys. Between 30% and 70% of patients present ophthalmic symptoms during the course of the illness. Ophthalmic affectation prior to systemic manifestations is less frequent and could delay final diagnosis.
Pinto Bonilla
J C
JC
Servicio de Oftalmología, Hospital General de Castellón. juancarlospinto@lycos.es
Lanuza García
A
A
Hernández Galilea
E
E
Günes
G
G
Arias López
M C
MC
D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008875:Middle Aged; D009916:Orbital Diseases / Q000209:etiology*