EJMCR. 2018; 2(3): 108-110

Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report

Authors: Ilyas El Kassimi, Adil Rkiouak, Salah-Eddine Hammi, Youssef Sekkach.

ABSTRACT

Background: Ocular involvement, although common in sarcoidosis, granulomatous infiltration of the orbital tissue remains very rare. Case Presentation: We describe the case of a 55-year-old man who presented bilateral protrusion of eyeballs that had been evolving for 1 year. Clinical examination found an axial and non-pulsatile bilateral exophthalmos with cervical lymphadenopathy. CT and MRI showed infiltration of oculomotor muscles. Biopsy of salivary glands showed chronic inflammatory granulomatous infiltration without caseous necrosis. There was a significant rapid improvement with the use of a steroid as primary therapy. Conclusion: Sarcoidosis may be a part of exophthalmos causes, after ruling out the main causes which include: Gravesí disease, carotid-cavernous fistula, tumors, and infectious causes.

Keywords:
Exophthalmos, systemic sarcoidosis, orbital involvement, corticosteroids.


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Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report


Authors
Ilyas El Kassimi
Department of Internal Medicine, Military Hospital Mohammed V, Rabat, Morocco
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Adil Rkiouak
Department of Internal Medicine, Military Hospital Mohammed V, Rabat, Morocco
PubMed articlesGoogle scholar articles

Salah-Eddine Hammi
Department of Internal Medicine, Military Hospital Mohammed V, Rabat, Morocco
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Youssef Sekkach
Department of Internal Medicine, Military Hospital Mohammed V, Rabat, Morocco
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Correspondence to:
. Ilyas El Kassimi, Department of Internal Medicine, Military Hospital Mohammed V, Rabat, Morocco; dr.elkassimiilyas@gmail

Publication history
Received 24 Aug 2018
Revised 27 Aug 2018
Accepted 28 Aug 2018
Published in print 12 Oct 2018

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Pubmed Style

Kassimi IE, Rkiouak A, Hammi S, Sekkach Y. Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report. EJMCR. 2018; 2(3): 108-110. doi:10.24911/ejmcr/173-1535106149


Web Style

Kassimi IE, Rkiouak A, Hammi S, Sekkach Y. Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report. http://www.ejmcr.com/?mno=5290 [Access: November 15, 2018]. doi:10.24911/ejmcr/173-1535106149


AMA (American Medical Association) Style

Kassimi IE, Rkiouak A, Hammi S, Sekkach Y. Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report. EJMCR. 2018; 2(3): 108-110. doi:10.24911/ejmcr/173-1535106149


Vancouver/ICMJE Style

Kassimi IE, Rkiouak A, Hammi S, Sekkach Y. Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report. EJMCR. (2018), [cited November 15, 2018]; 2(3): 108-110. doi:10.24911/ejmcr/173-1535106149


Harvard Style

Kassimi, I. E., Rkiouak, . A., Hammi, . S. & Sekkach, . Y. (2018) Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report. EJMCR, 2 (3), 108-110. doi:10.24911/ejmcr/173-1535106149


Turabian Style

Kassimi, Ilyas El, Adil Rkiouak, Salah-Eddine Hammi, and Youssef Sekkach. 2018. Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report. European Journal of Medical Case Reports, 2 (3), 108-110. doi:10.24911/ejmcr/173-1535106149


Chicago Style

Kassimi, Ilyas El, Adil Rkiouak, Salah-Eddine Hammi, and Youssef Sekkach. "Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report." European Journal of Medical Case Reports 2 (2018), 108-110. doi:10.24911/ejmcr/173-1535106149


MLA (The Modern Language Association) Style

Kassimi, Ilyas El, Adil Rkiouak, Salah-Eddine Hammi, and Youssef Sekkach. "Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report." European Journal of Medical Case Reports 2.3 (2018), 108-110. Print. doi:10.24911/ejmcr/173-1535106149


APA (American Psychological Association) Style

Kassimi, I. E., Rkiouak, . A., Hammi, . S. & Sekkach, . Y. (2018) Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report. European Journal of Medical Case Reports, 2 (3), 108-110. doi:10.24911/ejmcr/173-1535106149


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