title: Sarcoidosis. Debut as orbital pseudotumour.
abstract: METHODS
  78 year-old female patient being investigated for a left orbital pseudotumour of 17 days onset. She had proptosis, pain, with no limitation of eye movements, periorbital oedema, and upper eyelid ptosis, compatible with an orbital pseudotumour. The MRI showed an upper outer left orbital mass adjacent to the side of eyeball and an increase in soft tissue at the level of lacrimal gland. The histopathology study of an eyelid lesion demonstrated the presence of non-caseating granulomas.
  
  
  CONCLUSIONS
  A definitive diagnosis of orbital sarcoidosis was made. Oral treatment with corticosteroids and methotrexate achieved gradual control of the disease.
authors.affiliation: Servicio de Oftalmología, Hospital San Juan de Dios, Tenerife, España; Servicio de Oftalmología, Hospital Universitario de Canarias, Tenerife, España. Electronic address: procha975@yahoo.es.
authors.forename: P
authors.initials: P
authors.lastname: Rocha Cabrera
authors.affiliation: Servicio de Oftalmología, Hospital Universitario de Canarias, Tenerife, España.
authors.forename: J A
authors.initials: JA
authors.lastname: Abreu Reyes
authors.affiliation: Servicio de Radiodiagnóstico, Hospital San Juan de Dios, Tenerife, España.
authors.forename: J
authors.initials: J
authors.lastname: Fernández Ramos
authors.affiliation: Servicio de Oftalmología, Hospital Universitario de Canarias, Tenerife, España.
authors.forename: M J
authors.initials: MJ
authors.lastname: Losada Castillo
authors.affiliation: Servicio de Reumatología, Hospital Universitario de Canarias, Tenerife, España.
authors.forename: E
authors.initials: E
authors.lastname: Delgado Frías
authors.affiliation: Servicio de Oftalmología, Hospital Universitario de Canarias, Tenerife, España.
authors.forename: V
authors.initials: V
authors.lastname: Lozano López
authors.affiliation: Servicio de Reumatología, Hospital Universitario de Canarias, Tenerife, España.
authors.forename: B
authors.initials: B
authors.lastname: Rodríguez Lozano
authors.affiliation: Servicio de Oftalmología, Hospital Universitario de Canarias, Tenerife, España.
authors.forename: M A
authors.initials: MA
authors.lastname: Serrano García
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D001706:Biopsy; D004359:Drug Therapy, Combination; D005141:Eyelid Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006099:Granuloma / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008727:Methotrexate / Q000627:therapeutic use; D016727:Orbital Pseudotumor / Q000188:drug therapy / Q000209:etiology*; D012074:Remission Induction; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000305:Adrenal Cortex Hormones; D007166:Immunosuppressive Agents; D008727:Methotrexate
keywords: Orbital pseudotumour; Proptosis unilateral; Pseudotumor orbitario; Sarcoidosis; Unilateral proptosis