Presentation of Adult-onset Asthma and Periocular Xanthogranuloma with Intermediate Uveitis and Hodgkin's Lymphoma: A Case Report.

IF 1.6 Q3 OPHTHALMOLOGY
Journal of Ophthalmic & Vision Research Pub Date : 2024-06-21 eCollection Date: 2024-04-01 DOI:10.18502/jovr.v19i2.9629
Sahba Fekri, Mohammad-Hasan Rikhtehgar, Abbas Bagheri, Amirreza Veisi, Amir A Azari
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引用次数: 0

Abstract

Purpose: To report a case of adult-onset asthma and periocular xanthogranuloma (AAPOX) in a patient with intermediate uveitis and a history of Hodgkin's lymphoma (HL).

Case report: A 51-year-old man with a past medical history of HL presented with blurred vision, asthma, and bilateral yellowish eyelid lesions. The eyelid lesions and asthma appeared 10 years after being diagnosed with HL. Physical examination was significant for multiple subcutaneous and firm eyelid masses in addition to the presence of pre-auricular and submandibular lymphadenopathies. Ophthalmic examination revealed bilateral intermediate uveitis and mild macular edema. Further systemic evaluations, including laboratory testing and imaging, were normal. Excisional biopsy of the eyelid lesions was performed and the histopathologic examination was consistent with the diagnosis of AAPOX.

Conclusion: The presence of AAPOX in a patient with intermediate uveitis and history of HL suggests that immunological dysfunction may play a role in the pathogenesis of adult orbital xanthogranulomatous disease.

成人哮喘和眼周黄原细胞瘤并发中型葡萄膜炎和霍奇金淋巴瘤:病例报告。
目的:报告一例患有中度葡萄膜炎和霍奇金淋巴瘤(HL)病史的成人哮喘和眼周黄疽(AAPOX)患者的病例报告:病例报告:一名 51 岁男子,既往有 HL 病史,因视力模糊、哮喘和双侧眼睑淡黄色病变而就诊。眼睑病变和哮喘是在确诊为 HL 10 年后出现的。体格检查发现眼睑多处皮下肿块,质地坚硬,并伴有耳前和颌下淋巴结病变。眼科检查发现双侧中度葡萄膜炎和轻度黄斑水肿。进一步的全身检查,包括实验室检查和影像学检查均正常。对眼睑病变进行了切除活检,组织病理学检查结果与AAPOX的诊断一致:结论:一名患有中度葡萄膜炎和HL病史的患者出现AAPOX,表明免疫功能障碍可能在成人眼眶黄疽性疾病的发病机制中起作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
63
审稿时长
30 weeks
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