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
, Adil Rkiouak
, Salah-Eddine Hammi
, Youssef Sekkach
Article Info
Authors
Ilyas El Kassimi
Department of Internal Medicine, Military Hospital Mohammed V, Rabat, Morocco
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
