Ocular presentation of Wegener granulomatosis.
A 55-year-old woman presented with swelling of the right upper and lower eyelid, diplopia and proptosis. The clinical findings combined with imaging, pathology and full internal work-up allowed to make a diagnosis of limited Wegener granulomatosis. Treatment with systemic corticosteroids and cyclophosphamide markedly decreased the orbital swelling and diplopia.
Vanwynsberghe
D
D
Department of Ophthalmology, Ghent University Hospital, Ghent, Belgium. davedude_1@yahoo.com
Van Den Broecke
C
C
Bauters
W
W
Decock
C
C
D004172:Diplopia / Q000209:etiology*; D004487:Edema / Q000209:etiology; D005094:Exophthalmos / Q000209:etiology*; D005141:Eyelid Diseases / Q000209:etiology*; D005260:Female; D005355:Fibrosis / Q000473:pathology; D014890:Granulomatosis with Polyangiitis / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D015523:Maxillary Sinusitis / Q000209:etiology; D008875:Middle Aged; D009916:Orbital Diseases / Q000209:etiology* / Q000473:pathology