title: Adult-onset asthma and severe periocular xanthogranuloma: a case report.
abstract: A 55-year-old obese Mexican American male with a 3-year history of adult-onset asthma presented with a 10-year history of disfiguring eyelid edema. A biopsy revealed lymphoid aggregates consisting of reactive lymphoid follicles and Touton giant cells. He was diagnosed with adult-onset asthma associated with periocular xanthogranuloma and treated with systemic steroids. This case highlights an uncommon disease in its most severe presentation.
authors.affiliation: Department of Ophthalmology, Loma Linda University, Loma Linda, California, U.S.A. ktokuhara@llu.edu
authors.forename: Keith G
authors.initials: KG
authors.lastname: Tokuhara
authors.forename: Madhu R
authors.initials: MR
authors.lastname: Agarwal
authors.forename: Narsing A
authors.initials: NA
authors.lastname: Rao
mesh_terms: D000284:Administration, Oral; D001249:Asthma / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D004487:Edema / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D005141:Eyelid Diseases / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D058252:Necrobiotic Xanthogranuloma / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D009916:Orbital Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D011239:Prednisolone / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
chemical_list: D011239:Prednisolone