Masked orbital abscess in Wegener's granulomatosis.
Two patients with chronic Wegener's granulomatosis presented with worsening proptosis and visual acuity. Both patients had been maintained on long-term corticosteroids, which led to masking of the signs of orbital sepsis with potentially life-threatening implications.
de Silva
D J
DJ
Oculoplastic and Orbital Service, Western Eye Hospital, London, UK.
Cole
C
C
Luthert
P
P
Olver
J M
JM
D000038:Abscess / Q000150:complications*; D000284:Administration, Oral; D000368:Aged; D002908:Chronic Disease; D005094:Exophthalmos / Q000150:complications / Q000473:pathology; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D009916:Orbital Diseases / Q000150:complications* / Q000473:pathology / Q000601:surgery; D011239:Prednisolone / Q000008:administration & dosage; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology
D005938:Glucocorticoids; D011239:Prednisolone