title: Eosinophilic angiocentric fibrosis of the orbit: a case report and review of literature.
abstract: Eosinophilic angiocentric fibrosis is a rare condition presenting with tumefactive lesions of the nasal cavity, paranasal sinuses, upper respiratory tract and rarely the orbit; and has characteristic histopathological features. We report the case of a 38-year-old lady with a mass lesion in right orbit. Histopathological examination of the biopsy specimen revealed extensive areas of perivascular fibrosis showing a characteristic angiocentric whirling with onion skin pattern; along with perivascular exudates of eosinophils accompanied by collection of plasma cells and lymphocytes. Rheumatology review and autoimmune screening was negative. She underwent surgical debulking followed by tapering course of oral steroids and was completely free of orbital disease at her last follow-up visit.
authors: Santhi
authors: S
authors: Radhakrishnan
authors: Department of Orbit, Oculoplasty and Oncology, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
authors: Namrata G
authors: NG
authors: Adulkar
authors: Viji
authors: V
authors: Rangarajan
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001706:Biopsy; D003646:Debridement; D004804:Eosinophils / Q000166:cytology*; D005260:Female; D005355:Fibrosis / Q000175:diagnosis* / Q000473:pathology* / Q000628:therapy; D006257:Head / Q000000981:diagnostic imaging; D006651:Histocytochemistry; D006801:Humans; D008214:Lymphocytes / Q000166:cytology; D008279:Magnetic Resonance Imaging; D008853:Microscopy; D009915:Orbit / Q000473:pathology*; D009916:Orbital Diseases / Q000175:diagnosis* / Q000473:pathology* / Q000628:therapy; D010950:Plasma Cells / Q000166:cytology; D011859:Radiography; D013256:Steroids / Q000627:therapeutic use
chemical_list: D000893:Anti-Inflammatory Agents; D013256:Steroids