Imes R K, Reifschneider J S, O'Connor L E
Department of Ophthalmology, Naval Hospital, Oakland, California 94627.
Ann Ophthalmol. 1988 Dec;20(12):466-7, 469.
A patient with systemic sarcoidosis presented initially with bilateral orbital and upper lid masses. Computed tomographic scan showed bilateral anterior orbital and upper lid masses, diffuse irregular thickening of the rectus muscles, circumferential cuffing of both globes, and irregular thickening of the distal portion of the right optic nerve sheath. A biopsy specimen of the right upper lid mass showed fibroadipose tissue with multiple noncaseating granulomas. Bilateral pulmonary hilar lymphadenopathy, a positive gallium scan, anergy by skin testing, and the presence of erythema nodosum confirmed the diagnosis of systemic sarcoidosis.
一名系统性结节病患者最初表现为双侧眼眶及上睑肿物。计算机断层扫描显示双侧眶前部及上睑肿物、直肌弥漫性不规则增厚、双侧眼球周围套袖样改变以及右侧视神经鞘远端不规则增厚。右上睑肿物的活检标本显示为纤维脂肪组织伴多个非干酪样肉芽肿。双侧肺门淋巴结肿大、镓扫描阳性、皮肤试验无反应以及结节性红斑的存在证实了系统性结节病的诊断。
