Open AccessSarcoidosis With Orbital Tumor Outside the Lacrimal Gland
Author(s) -
Edward A. Peterson,
Devin C. Hymas,
David V. Pratt,
Steven W. Mortenson,
Richard L. Anderson,
Nick Mamalis
Publication year - 1998
Publication title -
archives of ophthalmology
Language(s) - English
Resource type - Journals
eISSN - 1538-3601
pISSN - 0003-9950
DOI - 10.1001/archopht.116.6.804
Subject(s) - sarcoidosis , lacrimal gland , medicine , prednisone , biopsy , systemic disease , soft tissue , orbit (dynamics) , pathology , radiology , surgery , disease , engineering , aerospace engineering
Two elderly white women (aged 72 and 87 years) were first seen with painless, unilateral orbital swelling. Orbital scanning revealed masses infiltrating the soft tissue around the eye. Biopsy results showed nodular, noncaseating granulomas consistent with sarcoidosis. One patient's workup revealed systemic manifestations of sarcoidosis at the time of examination with hilar lymphadenopathy noted on gallium scan; the other refused a complete systemic workup. The orbital tumors resolved with systemic prednisone therapy. To our knowledge, our 87-year-old patient is the oldest to be seen with orbital sarcoidosis. These 2 patients demonstrate that this diagnosis must be considered with orbital tumors in the elderly and in unusual locations, such as these which occurred outside the lacrimal gland.