Orbitocalvarial swelling and proptosis as an early manifestation of systemic lymphoma
Coppeto, J.R.; Monteiro, M.L.; Greco, T.; Cannarozzi, D.B.; Bisson, B.
Journal of Clinical Neuro-Ophthalmology 4(3): 173-180
1984
ISSN/ISBN: 0272-846X PMID: 6238054 Document Number: 230884
A 67-year-old woman had acutely diminished vision and painful proptosis of the left eye amidst a background of chronic headache, scalp tenderness, proximal myalgias, intermittent fever, anemia, and elevated erythrocyte sedimentation rates. All symptoms and signs were exquisitely corticosteroid-responsive. She underwent two negative temporal artery biopsies and several extensive negative evaluations for systemic disease. Ultimately deep scalp biopsy, bone biopsy, and bone marrow aspiration were performed, and all revealed a histologically well-differentiated lymphoma.