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A Case of Erdheim—Chester Disease with Bilateral Orbital Involvement
引用本文:WuZY YanJH 等. A Case of Erdheim—Chester Disease with Bilateral Orbital Involvement[J]. 眼科学报, 2001, 17(3): 163-167
作者姓名:WuZY YanJH 等
作者单位:[1]ZhongshanOphthalmicCenter,SunYat-senUniversityofMedicalSciences,Guangzhou,510060China [2]ZhongshanOphtha,SunYat-senUniversityofMedicalSciences,Guangzhou,510060China
摘    要:Purpose: To describe a case of Erdheim-Chester disease with bilateral orbital involvement.Methods: A 43-year-old female with bilateral proptosis was presented. Its clinical features, image findings, pathological character and therapeutic effect were evaluated. Results: CT demonstrated bilateral, diffuse orbital mass. Histopathologic assessment revealed a diffuse xanthogranulomatous process with clusters of lipidladen histocytes. Numerous Touton giant cells were scattered throughout the lesion.Renal and heart failure happened during a 6-year follow-up period. Long bones roentgenogram demonstrated diffuse symmetrical sclerosis with extensive, lytic lesions. Systemic administration of corticosteroids, chemotherapy, immunoglobulin and traditional Chinese medicine showed good therapeutic result.Conclusions: An administration of systemic corticosteroids, chemotherapy, immuno-globin and traditional Chinese medicine can control Erdheim-Chester disease. Further exploration of its pathogenesis

关 键 词:Erheim-Chester病  眼眶浸润  治疗

A Case of Erdheim-Chester Disease with Bilateral Orbital Involvement
Zhongyao Wu,Jianhua Yan,Wende Hong,Yaoxian Yuan,Lijun Dai. A Case of Erdheim-Chester Disease with Bilateral Orbital Involvement[J]. Eye science, 2001, 17(3): 163-167
Authors:Zhongyao Wu  Jianhua Yan  Wende Hong  Yaoxian Yuan  Lijun Dai
Affiliation:1. Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou, 510060 China
2. Department of Hemotology, The First Affiliated Clinical College Sun Yat-sen University of Medical Sciences, Guangzhou 510080 , China
Abstract:Purpose:To describe a case of Erdheim-Chester disease with bilateral orbital involvement.Methods:A 43-year-old female with bilateral proptosis was presented.Its clinical features,Image findings,pathological character and therapeutic effect were evaluated.Results:CT demonstrated bilateral,Diffuse orbital mass,Histopathologic assessment revealed a diffuse xanthogranulomatous process with clusters of lipidladen histocytes Numerous Touton giant cells were scattered throughout the lesion.Renal and heart failure happened during a 6-year follow-up period.Long bones roentgenogram demonstrated diffuse symmetrical sclerosis with extensive,lytic lesions Systemic administration of corticosteroids,Chemotherapy,immunoglobulin and traditional Chinese medicine showed good therapeutic result.Conclusions:An administraton of systemic corticosteroids,chemotherapy,immunoglobin and traditional Chinese medicine can control Erdheim-Chester disease.Further Exploration of its pathogenesis and collection of useful clincal data are required Eye Science 2001;17:163-167.
Keywords:Erdheim-Chester disease   Orbit   Treatment.
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