Diffuse large B-cell lymphoma masquerading as orbital cellulitis.
Proptosis is commonly encountered in clinical practice. We report on a patient with acute proptosis, eyelid swelling, and chemosis, which was initially treated as cellulitis. After radiological and pathological assessments, a diagnosis of large B-cell lymphoma was made. The patient died within 2 months of presentation. Not all patients with proptosis have cellulitis. Proptosis, especially unilateral proptosis, should always lead to a radiological scan in case of malignancy.
Department of Ophthalmology, Caritas Medical Centre, Shamshuipo, Hong Kong. dr.makst@gmail.com
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D000368:Aged; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D054517:Orbital Cellulitis / Q000175:diagnosis* / Q000473:pathology