Bilateral Orbital Pseudotumor in a 3-Year-Old Child: A Case Report

Shehibo, Abdulkadir; Admassu, Fisseha; Bekele, Tiruzer; Solomon, Michelle; Solomon, Liya; Gordon, David

doi:10.1093/tropej/fmx043

Cited by 4 publications

(10 citation statements)

References 10 publications

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“…The cause of IOI remains unknown. Several theories suggest an autoimmune disorder, upper respiratory infections, and minor trauma as triggers [1,5,8]. In our case, the child had a history of upper respiratory tract infection.…”

Section: Discussionmentioning

confidence: 70%

“…In our case, the child had a history of upper respiratory tract infection. However, most studies described this condition as idiopathic [1,5,8]. IOI is considered a diagnosis of exclusion; therefore, a thorough evaluation of the differential diagnosis is paramount [1,8,9].…”

Section: Discussionmentioning

confidence: 99%

“…Children most commonly present with a palpable mass, pain, proptosis, eyelid edema, restricted extraocular movements, and increased intraocular pressure (IOP) [1]. Affected children are at risk of recurrence and may have bilateral involvement and constitutional signs, such as headache, fever, lethargy, vomiting, and abdominal pain [1,[5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…Imaging shows thickening of extraocular muscles and their tendons (in myositis), involvement of orbital fat and lacrimal gland (in dacroadenitis), and involvement of the posterior sclera (in posterior scleritis) described as "ring sign," and with clear sinuses [6]. Laboratory tests are often normal, except for elevated erythrocyte sedimentation rate (ESR) and eosinophilia [5,9]. Children usually respond well to corticosteroid therapy [4].…”

Section: Introductionmentioning

confidence: 99%

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A Case of Idiopathic Orbital Inflammation in a Seven-Year-Old Child

Alqaseer¹,

Almutawa²

2021

Cureus

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We present a case of idiopathic orbital inflammation (IOI) in a pediatric patient that was initially diagnosed as orbital cellulitis. A seven-year-old female presented with painful right upper eyelid swelling and ptosis and an upper respiratory tract infection. Ruling out secondary causes that are sight and life-threatening conditions is prudent. Therefore, a multidisciplinary approach is crucial in the diagnosis and management of IOI. Consulting with different specialties aids in diagnosing and managing the condition, and thus optimizing patient care.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Case of Idiopathic Orbital Inflammation in a Seven-Year-Old Child

Alqaseer¹,

Almutawa²

2021

Cureus

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“…However, most cases reported in the literature appear to be diagnosed in adults, typically middle-aged individuals; paediatric cases account for only 6-17% of cases [5],among which bilateral cases account for one-third of the cases in the paediatric population [6]. Until now, the youngest patient with idiopathic orbital pseudotumour has been reported in the literature to be 3 years of age [7].…”

Section: Incidencementioning

confidence: 99%

Bilateral idiopathic orbital pseudotumour in a child: a case report

Chen¹,

Tang²,

Zhou³

2020

BMC Ophthalmol

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Background Idiopathic orbital pseudotumour is rare in children. We report a case of bilateral paediatric idiopathic orbital pseudotumour and review the characteristics of this case. Case presentation A 14-year-old female patient presented at our Department of Pulmonary and Critical Care Medicine (PCCM) with complaints of recurrent severe cold and cough for 3 weeks, which had been treated with an intravenous antibiotic. Meanwhile, the patient developed swelling of both eyelids during the period of cold and cough, but her symptoms did not improve after the ocular administration of tobramycin dexamethasone eye drops. The patient was referred from the respiratory medicine ward to our department because of gradually worsening ocular pain, visual deterioration, increased intraocular pressure and serious nausea/vomiting within 24 h of hospitalization. The diagnosis of bilateral idiopathic orbital pseudotumour was made ultimately because of the course of the disease, exclusion of diagnoses such as bacterial ocular infection or malignant tumours and subsequent evidence from orbital magnetic resonance imaging (MRI). Favourable progress in the ocular tension and eyelid swelling was achieved through treatment with intravenous dexamethasone. The binocular intraocular pressure gradually declined to approximately 15 mmHg, and there was favourable progression in the patient’s vision to 20/40 in both eyes on the ninth day of hospitalization. Conclusions Our patient developed rapidly progressive acute orbital signs and symptoms and anterior inflammation, such as pain, proptosis, limited ductions, periorbital oedema, chemosis, vision loss and high intraocular pressure. This case highlights that idiopathic orbital pseudotumour is an uncommon but important cause of acute orbital syndrome in children.

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Inflammatory pseudotumor: A 20-year single institutional experience

et al. 2020

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Background: Inflammatory pseudotumor (IPT) is a relatively rare benign disease. The aim of the study was to demonstrate the demographic distribution, clinical presentation, and histomorphological characteristics of IPT while highlighting its associated diagnostic challenges. Materials and Methods: A retrospective cross-sectional review of all the IPT diagnosed in our institution between January 1999 and December 2018 was conducted. The samples were received from within and outside the hospital facility. The demographic data, clinical history, and histologic reports were reviewed. Results: A total of 25 cases of histologically confirmed IPT were seen. Patients' age ranges from 7 to 74 years with a mean age of 38.96 years and standard deviation ± 17.94 years. There was a bimodal peak occurrence in the third and fifth decades. Most of the patients were adults (23, 92%), whereas only 2 (8%) were children. There was a female preponderance with a male-to-female ratio of 1:2.6. The head and neck had the highest number of cases (44%), followed by the gastrointestinal tract (GIT) (40%). Eight (73%) of head and neck cases occurred in the orbit. The presenting complaints depended on the site of the lesion with pain and swelling being the commonest symptoms irrespective of the site of the lesions. Two cases of bilateral IPT were observed. Immunohistochemistry was used in a certain condition of diagnostic dilemma. Conclusion: This study showed a female preponderance of IPT with the head and neck and GIT being the most common location. It is important to rule out other differentials in the diagnosis of IPT.

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Bilateral Orbital Pseudotumor in a 3-Year-Old Child: A Case Report

Abstract: Orbital pseudotumor is a rare, idiopathic, inflammatory process within the orbit. Early diagnosis is essential to prevent corneal, retinal and extraocular muscle damage. This article describes the presentation and clinical course of a 3-year-old male with bilateral orbital pseudotumor.

Cited by 4 publications

References 10 publications

A Case of Idiopathic Orbital Inflammation in a Seven-Year-Old Child

A Case of Idiopathic Orbital Inflammation in a Seven-Year-Old Child

Bilateral idiopathic orbital pseudotumour in a child: a case report

Inflammatory pseudotumor: A 20-year single institutional experience

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