title: [Orbital manifestation of Wegener's granulomatosis].
abstract: 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.
authors.affiliation: Servicio de Oftalmología, Hospital General de Castellón. juancarlospinto@lycos.es
authors.forename: J C
authors.initials: JC
authors.lastname: Pinto Bonilla
authors.forename: A
authors.initials: A
authors.lastname: Lanuza García
authors.forename: E
authors.initials: E
authors.lastname: Hernández Galilea
authors.forename: G
authors.initials: G
authors.lastname: Günes
authors.forename: M C
authors.initials: MC
authors.lastname: Arias López
mesh_terms: D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008875:Middle Aged; D009916:Orbital Diseases / Q000209:etiology*