Liu R, Li J, Ren T, Zhang H, Ma J. A rare lumpy inflammatory lesion of the orbit: a unique case report.
Diagn Pathol 2023;
18:30. [PMID:
36823652 PMCID:
PMC9948480 DOI:
10.1186/s13000-023-01316-w]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Accepted: 02/13/2023] [Indexed: 02/25/2023] Open
Abstract
BACKGROUND
Eosinophilic angiocentric fibrosis (EAF) is a rare inflammatory lesion, especially in orbit. EAF is believed to be related to IgG4-related disease (IgG4-RD), but the clinical manifestations of systemic involvement are relatively rare and easy to be confused with tumors or other inflammatory diseases. Histopathological examination is the most important way of its diagnosis and differentiation.
CASE PRESENTATION
We presented a 55-year-old female patient presented with recurrent swelling of the right lower eyelid for more than 2 months. The pathological diagnosis was EAF. Positive immunostaining for IgG, CD34, κ, and λ, while negative immunostaining for IgG4.
CONCLUSIONS
Complete surgical resection is the preferred treatment, histopathological examination is the main diagnostic standard.
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