Hoilat Gilles Jadd, Subedi Abinash, Ayas Mohamad Fekredeen, Ozden Nuri
SUNY Upstate Medical University, Department of Medicine, Syracuse, NY, USA.
Ascension St. John Hospital, Department of Medicine, Detroit, MI, USA.
Eur J Case Rep Intern Med. 2020 Oct 1;7(12):001964. doi: 10.12890/2020_001964. eCollection 2020.
Extraintestinal manifestations of Crohn's disease sometimes occur and can present prior to intestinal symptoms. Ocular manifestations of Crohn's disease are considered rare, with orbital myositis an even rarer manifestation with only a handful of cases reported in the literature. We present the case of a young woman who was diagnosed with orbital myositis, which was initially attributed to pseudotumor cerebri after an extensive negative work-up. Months later, the patient presented with haematochezia, and was subsequently diagnosed with Crohn's disease.
Orbital myositis is a rare manifestation of inflammatory bowel disease (IBD), and even more rarely is the initial presentation before the development of intestinal luminal disease.Orbital myositis is a rare extraintestinal manifestation of Crohn's disease and mimics thyroid ophthalmopathy. When a thyroid function test is negative, it is important to keep IBD in mind.
克罗恩病的肠外表现有时会出现，且可能在肠道症状之前出现。克罗恩病的眼部表现被认为较为罕见，眼眶肌炎则更为罕见，文献中仅报道了少数病例。我们报告了一名年轻女性的病例，她被诊断为眼眶肌炎，在经过广泛的阴性检查后，最初被归因于假性脑瘤。数月后，患者出现便血，随后被诊断为克罗恩病。
眼眶肌炎是炎症性肠病（IBD）的罕见表现，在肠道腔内疾病发展之前作为初始表现更为罕见。眼眶肌炎是克罗恩病罕见的肠外表现，可模仿甲状腺眼病。当甲状腺功能检查为阴性时，记住炎症性肠病很重要。
