轨道质量对类固醇有部分反应

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摘要

68岁女性,眼眶肿块逐渐增大。脑部和眼眶的核磁共振显示她患有眼眶假瘤。虽然病人的疼痛和肿块的大小有所改善,但并没有完全解决。患者活检显示非干酪化肉芽肿性炎症。胸部x线及CT显示双侧肺门淋巴结病变。进一步的检查和访谈显示患者数月的关节油漆和下肢结节。患者被诊断为眼窝结节病,风湿病专家开始使用甲氨蝶呤
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Orbital Mass Partially Responsive to Steroid
A 68 year old woman presented with a progressively enlarging orbital mass. MRI of her brain and orbits was consistent with an orbital pseudotumor. Although there was some improvement in the patient’s pain and the size of the mass, it did not fully resolve.The patient had a biopsy demonstrate non-caseating granulomatous inflammation. A chest X-ray and CT chest demonstrated bilateral hilar lymphadenopathy. Further examination and interviewing of the patient revealed several months of joint paints and lower extremity nodules. The patient was diagnosed with orbital sarcoidosis and was started on methotrexate by a rheumatologist
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