title: Orbital Lipomatosis: A Complication of Steroid Therapy in the Sweet Syndrome.
abstract: The description of a Sweet syndrome steroid dependant-induced orbital lipomatosis is reported. A 76-year-old-man with history of Sweet syndrome presented with severe bilateral proptosis (Hertel value, 25 mm) with decreased visual acuity and evoked potentials lengthened. A bilateral transpalpebral orbital decompression was performed by resection of intraorbital fat without bone removal. The surgery was uneventful. The volume of resected orbital fat was 15 ml for both sides. Proptosis reduction was 6 mm. Postoperative Hertel values were 19 mm, and evoked potentials were improved. The proptosis was managed successfully. Orbital lipectomy led to minimal sequelae and may be repeated if necessary in this case.
authors.affiliation: Department of Maxillo Facial Surgery, School of Medicine, University of François Rabelais, Tours, France.
authors.forename: Gwendoline
authors.initials: G
authors.lastname: Da Costa
authors.forename: Arnaud
authors.initials: A
authors.lastname: Pare
authors.forename: Florent
authors.initials: F
authors.lastname: Sury
authors.forename: Dominque
authors.initials: D
authors.lastname: Goga
authors.forename: Boris
authors.initials: B
authors.lastname: Laure
mesh_terms: D000273:Adipose Tissue / Q000473:pathology*; D000368:Aged; D003937:Diagnosis, Differential; D005938:Glucocorticoids / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D008068:Lipomatosis / Q000139:chemically induced* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D009915:Orbit / Q000000981:diagnostic imaging*; D009916:Orbital Diseases / Q000139:chemically induced* / Q000175:diagnosis; D016463:Sweet Syndrome / Q000188:drug therapy*; D014057:Tomography, X-Ray Computed
chemical_list: D005938:Glucocorticoids