Naoumi A, Souhail H, Channa H, Therhzaz A
Service d'ophtalmologie, Hôpital Militaire Mohamed V, Rabat, Maroc.
Bull Soc Belge Ophtalmol. 2008(308):31-4.
Idiopathic inflammatory orbital myosites represent 10% of the orbital pseudotumors and 8% of the orbital pathologic processes in children. They are rarely described although they raise real diagnostic problems. The authors report the case of a 10-year old little girl who presented sudden proptosis. The clinical and radiological work up and the therapeutic test with corticosteroids were in favor of an inflammatory orbital myositis. The authors remind the clinical, radiological, and therapeutical aspects of this entity that remains very unfrequent in children and needs to be differenciated from rhabdomyosarcoma.
特发性炎性眼眶肌炎占眼眶假瘤的10%,占儿童眼眶病理过程的8%。尽管它们引发了实际的诊断问题,但很少被描述。作者报告了一例10岁小女孩突然眼球突出的病例。临床和影像学检查以及皮质类固醇治疗试验均支持炎性眼眶肌炎的诊断。作者提醒,该疾病在儿童中非常罕见,需要与横纹肌肉瘤相鉴别,并阐述了其临床、影像学和治疗方面的情况。