Format

Send to

Choose Destination
Arch Soc Esp Oftalmol. 2018 Oct;93(10):503-506. doi: 10.1016/j.oftal.2018.03.003. Epub 2018 Apr 8.

A case report of orbital Langerhans cell histiocytosis presenting as a orbital cellulitis.

[Article in English, Spanish]

Author information

1
Unidad de Órbita y Oculoplástica, Servicio de Oftalmología, Hospital Universitario de Gerona Dr. Josep Trueta, Gerona, España. Electronic address: albert_marfon@gva.es.
2
Unidad de Órbita y Oculoplástica, Servicio de Oftalmología, Hospital Universitario de Gerona Dr. Josep Trueta, Gerona, España.

Abstract

CLINICAL CASE:

A 10-year-old girl was seen with a 3-week history of right upper lid swelling and with no other symptoms or fever. There was no recent history of sinusitis, trauma, or previous infection involving the periorbital area, or response to oral antibiotic treatment. Orbital computed tomography showed a lesion involving the upper margin of the orbit, and bone destruction at the orbital roof. Biopsy performed revealed the presence of Langerhans cell Histiocytosis. The lesion was surgically debulked and corticosteroids were used intra-operatively. The lesion responded to treatment.

DISCUSSION:

The orbital involvement of Langerhans cell histiocytosis, despite its low incidence, should be considered in the examination of acute peri-orbital swelling. It usually presents as an osteolytic lesion, and it is confirmed with a histological examination and immunohistochemical techniques for CD1a and S100. An interdisciplinary approach is recommended to rule out multifocal or multisystemic diseases, as well as to develop an appropriate treatment strategy.

KEYWORDS:

Celulitis orbitaria; Eosinophilic granuloma; Granuloma eosinofílico; Histiocitosis de células de Langerhans; Langerhans cell histiocytosis; Masa orbitaria; Orbital cellulitis; Orbital mass

PMID:
29643005
DOI:
10.1016/j.oftal.2018.03.003
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Ediciones Doyma, S.L.
Loading ...
Support Center