Open AccessOld known diseases affecting the orbit. Presentation of a clinical case and review
Author(s) -
Lorena Sager,
A. Reibaldi,
Romina Calvo,
Alberto Ortiz,
Susana Roverano,
Sergio Paira
Publication year - 2020
Publication title -
revista argentina de reumatología
Language(s) - English
Resource type - Journals
eISSN - 2362-3675
pISSN - 0327-4411
DOI - 10.47196/rar.v31i4.385
Subject(s) - differential diagnosis , amyloidosis , medicine , pathology , eosinophilic , orbit (dynamics) , biopsy , dermatology , histology , lesion , multiple myeloma , engineering , immunology , aerospace engineering
We present the case of a 56-year-old patient with a history of Multiple Myeloma, who evolves with periorbital inflammation of both eyelids, bilateral, yellowish-violet, ulcerated and painless. The differential diagnosis with the adult orbital xanthogranulomatous diseases was raised, especially XN due to its association with MM. When performing a biopsy of the lesion, fragmentation of dermal collagen bundles and around vessels a pale eosinophilic acellular material, positive congo red and apple-green color with polarized light are observed in the histology, reaching the diagnosis of Amyloidosis and Orbital Xantogranuloma of the Adult.