Pediatrics, Dr Ram Manohar Lohia Hospital and Atal Bihari Vajpayee Institute of Medical Sciences, New Delhi, India.
Radiodiagnosis, All India Institute of Medical Sciences (AIIMS), NewDelhi, India.
BMJ Case Rep. 2024 Jan 31;17(1):e253380. doi: 10.1136/bcr-2022-253380.
Proptosis is a frequent presenting symptom/sign of many paediatric malignancies. Acute-onset proptosis is an ophthalmic emergency that can endanger vision if not treated promptly. Appropriate treatment must be instituted only after investigating for the underlying aetiology. Here, we report a developmentally delayed boy in middle childhood who presented with recent onset bilateral proptosis. Clinical examination followed by radiological evaluation suggested scurvy to be the underlying cause and vitamin C supplementation led to prompt reversal of proptosis. The relevant literature has been reviewed and presented here to apprise the paediatric oncologists about this rare but easily treatable cause of proptosis.
眼球突出是许多儿科恶性肿瘤的常见表现/症状。急性发病的眼球突出是一种眼科急症,如果不及时治疗,可能会危及视力。只有在调查潜在病因后,才能进行适当的治疗。在此,我们报告了一名处于儿童中期的发育迟缓男孩,他最近出现双侧眼球突出。临床检查和影像学评估提示坏血病是潜在的原因,补充维生素 C 后眼球突出迅速逆转。我们回顾了相关文献,并在此呈现,以使儿科肿瘤学家了解这种罕见但易于治疗的眼球突出原因。