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Pathological Case of the Month
Raffaella Zannolli, MD;
Antonio Acquaviva, MD;
Ennio Polito, MD;
Paolo Galluzzi, MD;
Filomena Ferrari, MD;
Lorenzo Leoncini, MD;
Pietro Luzi, MD;
Guido Morgese, MD
From the Departments of Pediatrics (Drs Zannolli, Acquaviva, and Morgese), Ophthalmology (Dr Polito), and Neuroradiology (Dr Galluzzi) and the Institute of Pathology (Drs Ferrari, Leoncini, and Luzi), Policlinico Le Scotte, University of Siena, Siena, Italy.
Arch Pediatr Adolesc Med. 1999;153:1199-1200.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 10-YEAR-OLD Iraqi child presented with a bilateral exophthalmos (Figure 1). An ophthalmologist had partially stitched up his eyelids to avoid subluxation of the globes. Exophthalmos began at age 3 years and was diagnosed as pseudotumor orbitae. Attempted control of progressive proptosis with steroid therapy had been unsuccessful. Health status was otherwise normal. Erythrocyte sedimentation rate and serum immunoglobulin levels were elevated. A cranial magnetic resonance imaging scan showed abnormal tissue completely occupying the orbital spaces (Figure 2), the sphenoidal and maxillar sinuses, the right retrostyloid space, and slightly infiltrating the anterior fossa up to the sella. Chest x-ray films, radionucleotide bone scan, and bone marrow aspirate showed no abnormalities. An orbital tissue biopsy specimen showed sheets of large, pale, eosinophilic polygonal . . . [Full Text of this Article]
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