[Rapidly progressing unilateral proptosis in a 6-year-old girl].

Abstract

This report describes the case of a 6-year-old girl who presented with painless swelling of the right orbit since 4 weeks and moderate proptosis. Tests revealed visual acuity RE 6/6, LE 6/6, normal intraocular pressure (IOP), anterior and posterior segments normal. Ultrasound examination showed multiple lesions in the spleen, normal liver, no abdominal mass and enlarged abdominal lymph nodes. Fine-needle aspirate results were not available at the time of clinical decision-making. In Malawi the treatment for all stages of Burkitt's lymphoma is intravenous cyclophosphamide (40 mg/kg on day 1 and oral cyclophosphamide 60 mg/kg on days 8, 18 and 28). Intrathecal hydrocortisone (12.5 mg) and methotrexate (12.5 mg) are given with each treatment cycle.

• Authors: M Schulze Schwering, J M Rohrbach, E M Molyneux
• Journal: Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft (Ophthalmologe) Vol. 110 Issue 1 Pg. 65-7 (Jan 2013) ISSN: 1433-0423 [Electronic] Germany
• Vernacular Title: Rasch fortschreitende unilaterale Proptosis bei einem 6-jährigen Mädchen.
• PMID: 23064443 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Adrenal Cortex Hormones
• Anti-Inflammatory Agents

Topics

• Administration, Ophthalmic
• Adrenal Cortex Hormones (administration & dosage)
• Anti-Inflammatory Agents (administration & dosage)
• Burkitt Lymphoma (complications, drug therapy, pathology)
• Child
• Disease Progression
• Exophthalmos (diagnosis, etiology, prevention & control)
• Female
• Humans
• Treatment Outcome