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KMID : 0213520130270010052
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Korean Journal of Ophthalmology
2013 Volume.27 No. 1 p.52 ~ p.54
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Orbital Sarcoidosis Presenting as Diffuse Swelling of the Lower Eyelid
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Lee Jeong-Kyu
Moon Nam-Ju
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Abstract
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The author reports a case of orbital Sarcoidosis in a 70-year-old female that initially presented as diffuse swelling of the lower eyelid. The patient complained of painless swelling of the left lower lid without palpable mass, and a computerized tomography (CT) scan of the orbit was unremarkable. A serum angiotensin converting enzyme level was elevated, and hilar lymphadenopathy was noted on the chest CT. The patient underwent surgical debulking for histologic confirmation, which led to a final diagnosis of sarcoidosis involving the orbital fat. Unexplained chronic eyelid swelling without a mass should be considered a possible ophthalmic manifestation of orbital sarcoidosis.
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KEYWORD
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Chronic swelling, Lower lid, Orbital sarcoidosis
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