Episcleral and Orbital Pseudorheumatoid Nodules

Nodulose reumatóide epibulbar bilateral: relato de caso

“…Há controvérsias se estes nódulos pseudo-reumatóides são indicativos de doença sistêmica (8) . As pálpebras, superfície epibulbar e órbita têm sido envolvidos pelos nódulos pseudo-reumatóides (8)(9) . Em contraste, "nodulosis rheumatoidis" é uma condição na qual a doença articular é subclínica, nódulos reumatóides subcutâ-neos clássicos aparecem e alterações sorológicas da artrite reumatóide estão presentes (2) .…”

Orbital nodular-granuloma annulare in a juvenile diabetic

“…Ross et al reported a case of granuloma annulare involving the orbit and epi-sclera in a 29-year-old female patient with radiological evidence of retrobulbar extension. 13 Orbital granuloma annulare, occurring as an isolated nodule in the lateral rectus has been recorded in a 13-year-old otherwise healthy boy. 8 The youngest patient with orbital involvement reported was 2 years old presenting with non-tender right superotemporal orbital mass.…”

“…4,[7][8][9]13 Although Roa et al were probably the first to describe orbital involvement, their report lacked clinical information and the anatomical site was not clearly stated. 7 Floyd reported the first well-defined case of granuloma annulare in a healthy 8-year-old boy with recurrent redness, proptosis and swelling of the right lower lid simulating orbital cellulitis.…”

“…4 The orbital involvement is usually non-tender and may be associated with proptosis. 4,8,9,13 Orbital granuloma annulare can be associated with episcleral, peri-ocular and general cutaneous involvement. 4,13 Clinically granuloma annulare may simulate lymphomas, leukaemia, orbital pseudo tumours and metastatic tumours and histological confirmation is essential.…”

“…4,8,9,13 Orbital granuloma annulare can be associated with episcleral, peri-ocular and general cutaneous involvement. 4,13 Clinically granuloma annulare may simulate lymphomas, leukaemia, orbital pseudo tumours and metastatic tumours and histological confirmation is essential. In the case we report, the CT and MRI scan of the brain were normal and the partial third nerve palsy was very likely to be due to involvement of the nerve in the orbit.…”