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Ocular Scrofuloderma with Unilateral Proptosis
Author(s) -
Sardana Kabir,
Koranne R. V.,
Langan Usha,
Sharma R. C.,
Bhatnagar Shishir Kumar
Publication year - 2002
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/j.1346-8138.2002.tb00255.x
Subject(s) - medicine , orbit (dynamics) , eyelid , abscess , lesion , etiology , exophthalmos , radiology , surgery , pathology , engineering , aerospace engineering
Proptosis due to an extraconal orbital abscess of tubercular origin with lacrimal gland involvement, representing ocular scrofuloderma, is a rare entity. This association has not been reported earlier in the literature. We describe a 7‐year‐old boy who presented with nodulo‐ulcerative lesions of tubercular etiology with discharging sinuses on right side of the face and a similar lesion on the right lower eyelid along with proptosis of 4 months duration. Computerized tomography (CT) scan of the head confirmed the extraconal, intraorbital, hyperdense, homogeneously enhancing mass separated from the lateral rectus muscle and further revealed involvement of lacrimal gland along with erosion of the temporal bone. The patient showed marked improvement of his dermatological and ophthalmological lesions with anti‐tubercular treatment. Subsequent ultrasound examinations of the orbit revealed regression in the size of the abscess from 10.7 mm to 5.0 mm and then complete disappearance of the abcess obviating surgical intervention.