Orbital AL amyloid. (2nd January 2020)

• Record Type: Journal Article
• Authors: Chan, Tiffany Michelle; Prospero Ponce, Claudia Maria; Allen, Richard Cutler; Bell, Diana; Lee, Andrew Go
• Is Part Of: Orbit. Volume 39:Number 1(2020)
• Page Start: 68
• Page End: 70
• Publication Date: 2020-01-02
• Subjects: Amyloidosis -- facial pain -- lymphoma -- ophthalmoplegia -- osteomyelitis; Eye-sockets -- Surgery -- Periodicals; Eye-sockets -- Diseases -- Periodicals; Orbit -- surgery -- Periodicals; Orbital Diseases -- Periodicals; 617.7
• DOI: 10.1080/01676830.2019.1594980
• Languages: English
• ISSNs: 0167-6830

Abstract

ABSTRACT: Amyloidosis and lymphoma localized to the ocular adnexa are rare, and their presentation may resemble more common inflammatory conditions such as autoimmune disease or infection, which can protract diagnostic evaluation and delay eventual therapy. In a patient with recalcitrant facial and tooth pain and ophthalmoplegia, evaluation should include careful histopathologic analysis of biopsy specimens. We report a case of orbital AL amyloidosis associated with localized lymphoma that presented with intractable dental pain and progressed to bilateral complete ophthalmoplegia.