Recurrent Periorbital Cellulitis: An Unusual Clinical Entity

Abstract

C-4.

Recurrent unilateral periorbital cellulitis in a pediatric patient—An anatomic abnormality

“…The etiologies included environmental allergies, bacterial sinusitis, herpetic infection, allergic contact dermatitis from cosmetic make-up use, and factitious disorders/malingering. These occurred in both children and adults [3]. Other reported etiologies of RPOC have included periocular malignancy (nonHodgkin's lymphoma [4], plasmacytoma [5]), and immunodeficiency/neutropenia [6].…”

Recurrent periorbital cellulitis in a very young child: A case report and review of literature

“…Computed tomography scans of the nose and paranasal sinuses have been commonly performed in patients with RPOC [7,8,11]. Yet, there is no clear evidence that CT, in light of the radiation exposure, is absolutely necessary in managing children with RPOC.…”

“…Sorin et al broadened the differential diagnosis in their review of 6 cases of RPOC where they identified atopic reaction to cosmetics, herpetic infection, environmental allergies and malingering as etiologies of RPOC [11]. As well, some very rare conditions that should be considered include disorders that may mimic RPOC or occur as co-morbid conditions.…”

“…Yet, due to the rarity of reported cases in the literature, there is no clear way to define or manage RPOC. One case series proposed that RPOC occurs when there is a minimum of 3 episodes within a period of 1 year, with interval convalescence lasting at least 1 month [11]. This criterion seems reasonable and easily applicable to the clinical setting.…”

Preseptal Cellulitis

“…Recurrent preseptal cellulitis -preseptal cellulitis rarely recurs. When it does, it is usually due to an underlying cause that has not been diagnosed or due to an anatomic abnormality [42,43].…”