BACKGROUND: Lethal midline granuloma usually presents with rhinorrhoea and redness of the skin above the nose. Early ocular symptoms are very rare. We here describe a patient who presented with acute orbital cellulitis. PATIENT: A 73-year-old woman had a 24-h history of severe pain around her left eye. We saw the typical clinical picture of orbital cellulitis. A CT scan revealed a diffuse infiltration of the left upper and lower lid, the anterior orbit and the ethmoidal sinuses. RESULT: On surgical exploration we found a granular, partly necrotic tumour. Histological examination revealed an angiocentric nasal T-cell lymphoma (midline granuloma). CONCLUSION: Midline granuloma should be included in the differential diagnosis of acute orbital cellulitis.
BACKGROUND: Lethal midline granuloma usually presents with rhinorrhoea and redness of the skin above the nose. Early ocular symptoms are very rare. We here describe a patient who presented with acute orbital cellulitis. PATIENT: A 73-year-old woman had a 24-h history of severe pain around her left eye. We saw the typical clinical picture of orbital cellulitis. A CT scan revealed a diffuse infiltration of the left upper and lower lid, the anterior orbit and the ethmoidal sinuses. RESULT: On surgical exploration we found a granular, partly necrotic tumour. Histological examination revealed an angiocentric nasal T-cell lymphoma (midline granuloma). CONCLUSION:Midline granuloma should be included in the differential diagnosis of acute orbital cellulitis.
Authors: L Vanrenterghem; B Joly; X de Cordoue; G Montreuil; T M Palliez; E Maillot; C Leleu; O Riviere; J Bosq Journal: Rev Stomatol Chir Maxillofac Date: 1994
Authors: J G Strickler; M F Meneses; T M Habermann; D M Ilstrup; J D Earle; T J McDonald; K L Chang; L M Weiss Journal: Hum Pathol Date: 1994-07 Impact factor: 3.466