We present an unusual case of a patient who acquired a pansinusitis and orbital cellulitis with necrotizing features, subsequently developing scleritis, keratitis, and anterior uveitis. To date, there are no reported cases of the

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FIG. 2.Histology of left upper eyelid biopsy and excision. On lower power (A), there are nodules of neoplastic cells (circles) associated with a desmoplastic reaction (arrow). On higher magnification (B), scant blue mucus cells (circle) with epithelial cells and lymphocyte infiltrate can be visualized. Mucicarmine staining (C) was done which demonstrated small islands of mucus (circle). There was no residual tumor seen at the margins of the excision specimen (D) but there was a dense lymphocytic infiltrate (arrow).