[Rapidly progressing unilateral proptosis in a 6-year-old girl].
This report describes the case of a 6-year-old girl who presented with painless swelling of the right orbit since 4 weeks and moderate proptosis. Tests revealed visual acuity RE 6/6, LE 6/6, normal intraocular pressure (IOP), anterior and posterior segments normal. Ultrasound examination showed multiple lesions in the spleen, normal liver, no abdominal mass and enlarged abdominal lymph nodes. Fine-needle aspirate results were not available at the time of clinical decision-making. In Malawi the treatment for all stages of Burkitt's lymphoma is intravenous cyclophosphamide (40 mg/kg on day 1 and oral cyclophosphamide 60 mg/kg on days 8, 18 and 28). Intrathecal hydrocortisone (12.5 mg) and methotrexate (12.5 mg) are given with each treatment cycle.
Universitätsaugenklinik Tübingen, Tübingen. mssoculus@web.de
M
M
Schulze Schwering
J M
JM
Rohrbach
E M
EM
Molyneux
D060433:Administration, Ophthalmic; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage*; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D002051:Burkitt Lymphoma / Q000150:complications / Q000188:drug therapy* / Q000473:pathology*; D002648:Child; D018450:Disease Progression; D005094:Exophthalmos / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones; D000893:Anti-Inflammatory Agents