Case Report

Volume: 2 | Issue: 3 | Published: Jan 01, 1970 | Pages: 108 - 110 | DOI: 10.24911/ejmcr/173-1535106149

Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report


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


Article Info

Authors

Ilyas El Kassimi

Department of Internal Medicine, Military Hospital Mohammed V, Rabat, Morocco

orcid logo ORCID

Adil Rkiouak

Department of Internal Medicine, Military Hospital Mohammed V, Rabat, Morocco

Salah-Eddine Hammi

Department of Internal Medicine, Military Hospital Mohammed V, Rabat, Morocco

Youssef Sekkach

Department of Internal Medicine, Military Hospital Mohammed V, Rabat, Morocco

Publication History

Received: August 24, 2018

Revised: August 27, 2018

Accepted: August 28, 2018

Published: January 01, 1970


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: Graves' disease, carotid-cavernous fistula, tumors, and infectious causes.

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


Pubmed Style

Ilyas El Kassimi, Adil Rkiouak, Salah-Eddine Hammi, Youssef Sekkach. Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report. EJMCR. 1970; 01 (January 1970): 108-110. doi:10.24911/ejmcr/173-1535106149

Web Style

Ilyas El Kassimi, Adil Rkiouak, Salah-Eddine Hammi, Youssef Sekkach. Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report. https://ejmcr.com/articles/1514 [Access: December 04, 2024]. doi:10.24911/ejmcr/173-1535106149

AMA (American Medical Association) Style

Ilyas El Kassimi, Adil Rkiouak, Salah-Eddine Hammi, Youssef Sekkach. Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report. EJMCR. 1970; 01 (January 1970): 108-110. doi:10.24911/ejmcr/173-1535106149

Vancouver/ICMJE Style

Ilyas El Kassimi, Adil Rkiouak, Salah-Eddine Hammi, Youssef Sekkach. Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report. EJMCR. (1970), [cited December 04, 2024]; 01 (January 1970): 108-110. doi:10.24911/ejmcr/173-1535106149

Harvard Style

Ilyas El Kassimi, Adil Rkiouak, Salah-Eddine Hammi, Youssef Sekkach (1970) Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report. EJMCR, 01 (January 1970): 108-110. doi:10.24911/ejmcr/173-1535106149

Chicago Style

Ilyas El Kassimi, Adil Rkiouak, Salah-Eddine Hammi, Youssef Sekkach. "Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report." 01 (1970), 108-110. doi:10.24911/ejmcr/173-1535106149

MLA (The Modern Language Association) Style

Ilyas El Kassimi, Adil Rkiouak, Salah-Eddine Hammi, Youssef Sekkach. "Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report." 01.January 1970 (1970), 108-110. Print. doi:10.24911/ejmcr/173-1535106149

APA (American Psychological Association) Style

Ilyas El Kassimi, Adil Rkiouak, Salah-Eddine Hammi, Youssef Sekkach (1970) Bilateral Exophthalmos caused by Systemic Sarcoidosis: a case report. , 01 (January 1970), 108-110. doi:10.24911/ejmcr/173-1535106149