title: Osteolytic Sarcoidosis of the Orbital Roof Masquerading as a Malignant Orbital Lesion.
abstract: A 51-year-old man without a significant past medical history presented with 4 weeks of progressive swelling and drooping of his left upper eyelid. A CT of the left orbit revealed an osteolytic mass lesion in the area of the lacrimal gland. A left orbitotomy with excisional biopsy was performed. The excised tissue was sent for infectious workup and histopathological examination, which revealed osteolytic sarcoidosis. The patient was treated with systemic and local injection corticosteroids, and followed over 10 months without evidence of recurrence. Systemic workup with CT of his chest, abdomen, and pelvis revealed no further evidence of sarcoidosis. To the best of the authors knowledge, this is the first report of an otherwise healthy patient presenting with isolated osteolytic sarcoidosis of the orbit and a negative systemic workup.
authors.affiliation: *Department of Ophthalmology, Georgia Regents University, Augusta, Georgia; †AO Surgical Arts, Salt Lake City, Utah; and ‡John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, U.S.A.
authors.forename: Scott C
authors.initials: SC
authors.lastname: Cole
authors.forename: Kian
authors.initials: K
authors.lastname: Eftekhari
authors.forename: Thomas
authors.initials: T
authors.lastname: Oberg
authors.forename: Nick
authors.initials: N
authors.lastname: Mamalis
authors.forename: Richard L
authors.initials: RL
authors.lastname: Anderson
mesh_terms: D001706:Biopsy; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000000981:diagnostic imaging*; D009916:Orbital Diseases / Q000175:diagnosis*; D009918:Orbital Neoplasms / Q000175:diagnosis; D010014:Osteolysis / Q000175:diagnosis*; D012507:Sarcoidosis / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed