Pseudo Tumour of the Orbit and Polyarteritis Nodosa

Walton, E. W.

doi:10.1136/jcp.12.5.419

Cited by 33 publications

(8 citation statements)

References 3 publications

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“…C, One week after initiating cyclosporine and methylprednisolone fluctuating every second or third day. [7][8][9][10]12,14 Our patient had no evidence of exophthalmos, which has been previously reported in association with cutaneous PAN and facial edema. 9,10 In cases presenting (Table 1).…”

Section: Referencementioning

confidence: 58%

“…Facial compromise is extremely rare and even more so when presenting with fluctuating hemifacial edema (Table 1). [7][8][9][10]12,14 There are six previous reports of PAN associated with facial edema. However, our case is the first one with hemifacial edema T A B L E 1 Reported cases of PAN associated with facial edema…”

Section: Discussionmentioning

confidence: 99%

“…Walton 12 Vanwien and Merz 10 Verbov 14 Ishida et al 9 Cron et al 8 Fernandes et al 7 This patient F I G U R E 1 A, Left hemifacial edema with an erythematous indurated plaque. B, Hemifacial edema fluctuating every second or third day without treatment.…”

Section: Referencementioning

confidence: 94%

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Fluctuating facial edema as a rare manifestation of cutaneous polyarteritis nodosa: Case report and review of the literature

Gaviria

Patino²,

Ruiz

et al. 2020

J Cutan Pathol

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Polyarteritis nodosa (PAN) is a necrotizing vasculitis. The clinical manifestations are determined by the location of the compromised arteries. Cutaneous PAN can present as nodular lesions similar to erythema nodosum, palpable purpura, livedo reticularis, and ulceration. It often affects the lower limbs but other anatomical sites can also be involved. However, concomitant facial edema is an extremely rare manifestation. It has been more than 20 years since the last case report describing this unusual presentation of PAN. Furthermore, our patient is the first case presenting with hemifacial edema fluctuating every second or third day due to PAN confirmed by skin biopsy.

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Section: Referencementioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

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Fluctuating facial edema as a rare manifestation of cutaneous polyarteritis nodosa: Case report and review of the literature

Gaviria

Patino²,

Ruiz

et al. 2020

J Cutan Pathol

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“…In a case reported by Walton (1959) the orbital lesion took the form of a non-specific extravascular granuloma, whereas in the case described by Van Wien and Merz (1963) there was arteritis without granuloma formation. In both cases the orbital lesion preceded the onset of generalized disease by several years.…”

Section: Polyarteritis Nodosamentioning

confidence: 91%

Pathology of 'pseudotumours' of the orbit: a review.

Garner¹

1973

J Clin Pathol

101

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The term pseudotumour of the orbit is unfortunate, since it merely purports to describe a negative quality of a considerable number of diverse pathological conditions. Among ophthalmologists it is common practice to limit the term to those lesions which are of an idiopathic inflammatory nature (Blodi and Gass, 1967), whereas Birch-Hirschfeld, who introduced the term, included all non-neoplastic disorders (Birch-Hirschfeld, 1905

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“…There have been seven cases in the literature reporting exophthalmos and orbital inflammation associated with PAN. [45][46][47][48] These signs and symptoms are all secondary to the mass effect created by the vasculitis occurring within the orbit.…”

Section: Polyarteritis Nodosamentioning

confidence: 99%