Tantachamroon T, Leeangulstean P, Patigulsila D, Aiumtrakul P, Attasiri C
Department of Pathology, Faculty of Medicine, Chiang Mai University, Thailand.
J Med Assoc Thai. 1995 Jul;78(7):374-8.
This is the first case report of primary orbital amyloidoma in a 56-year-old Thai man who presented with proptosis for 4 days. He also complained of orbital discomfort associated with palpitation during the past 4 months. He was treated with corticosteroid for 6 months and slight left orbital pain ensued after cortisone discontinuation. Surgical removal of the orbital mass was done and proved to be "Amyloidoma" by multiple method technologies AL type. His visual acuity and proptosis were improved. Investigation for systemic amyloidosis was done by rectal biopsy and protein electrophoresis but there was no evidence of systemic amyloidosis. The authors reported the first case of orbital amyloidoma in Thailand.
这是首例关于一名56岁泰国男性原发性眼眶淀粉样瘤的病例报告，该患者出现眼球突出4天。他还主诉在过去4个月里伴有心悸的眼眶不适。他接受了6个月的皮质类固醇治疗，停用可的松后出现轻微的左眼眶疼痛。对眼眶肿物进行了手术切除，通过多种方法技术证实为AL型“淀粉样瘤”。他的视力和眼球突出情况得到了改善。通过直肠活检和蛋白电泳对系统性淀粉样变性进行了检查，但没有系统性淀粉样变性的证据。作者报道了泰国首例眼眶淀粉样瘤病例。
