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Orbital Involvement as the Initial Manifestation of Sarcoidosis: Magnetic Resonance Imaging Findings
Author(s) -
Shaikh Zubair A.,
Bakshi Rohit,
Greenberg Steven J.,
Fine Edward J.,
Shatla Ahmed,
Lincoff Norah S.
Publication year - 2000
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/jon2000103180
Subject(s) - medicine , sarcoidosis , magnetic resonance imaging , diplopia , biopsy , radiology , infiltration (hvac) , systemic disease , pathology , ophthalmology , disease , physics , thermodynamics
A 74‐year‐old man had diplopia, painful right ophthalmoplegia, proptosis, conjunctival injection, and facial skin lesions. Magnetic resonance imaging (MRI) revealed infiltration of the right intraorbital adipose tissue. Lesions were mixed low‐ and highsignal on T2‐weighted images and enhanced on fat‐suppressed T1‐weighted postcontrast images. A skin biopsy revealed numerous noncaseating granulomas consistent with sarcoidosis. Treatment with corticosteroids and chlorambucil led to a full clinical recovery. Sarcoidosis should be considered in the evaluation of orbital pseudotumor in elderly patients, even if no systemic manifestations of sarcoidosis are present