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Sarcoidosis With Supraorbital Swelling

Sarcoidosis With Supraorbital Swelling Abstract Sir.—Ocular involvement is frequent in children with sarcoidosis and may lead to significant morbidity.1,2 We describe a child with sarcoidosis who presented with unusual supraorbital swelling and the insidious onset of photophobia and marked loss of visual acuity. Patient Report.—A 7-year-old boy presented to the Cook County (Illinois) Hospital emergency room for removal of a cockroach from his external auditory canal. The child was noted to have prominent eyes and was admitted for evaluation. For six months he had had intermittent red eyes and a watery, yellowish eye discharge. Prominence of his eyes had been present for three months, and for two months he had experienced photophobia and decreasing visual acuity. There was no history of arthritis, lymphadenopathy, pulmonary symptoms, or rashes other than eczema. Physical examination revealed an alert, happy child who avoided bright light. The eyes were prominent with supratemporal swelling bilaterally (Fig 1). Uncorrected References 1. Kendig E: Sarcoidosis . AJDC 1982;136: 11-12. 2. Kataria S, Tevathan G, Holland J, et al: Ocular presentation of sarcoidosis in children . Clin Pediatr 1983;22:793-797.Crossref 3. Obenauf C, Shaw H, Synor C, et al: Sarcoidosis and its ophthalmic manifestations . Am J Ophthalmol 1978;86:648-655. 4. Weinreb R, Kimura S: Uveitis associated with sarcoidosis and angiotensin-converting enzyme . Am J Ophthalmol 1980;89:180-185. 5. Sacher M, Lanzier C, Sobel L, et al: Computed tomography of bilateral lacrimal gland sarcoidosis . J Comput Assist Tomogr 1984;8: 213-215. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1986.02140170015010
Publisher site
See Article on Publisher Site

Abstract

Abstract Sir.—Ocular involvement is frequent in children with sarcoidosis and may lead to significant morbidity.1,2 We describe a child with sarcoidosis who presented with unusual supraorbital swelling and the insidious onset of photophobia and marked loss of visual acuity. Patient Report.—A 7-year-old boy presented to the Cook County (Illinois) Hospital emergency room for removal of a cockroach from his external auditory canal. The child was noted to have prominent eyes and was admitted for evaluation. For six months he had had intermittent red eyes and a watery, yellowish eye discharge. Prominence of his eyes had been present for three months, and for two months he had experienced photophobia and decreasing visual acuity. There was no history of arthritis, lymphadenopathy, pulmonary symptoms, or rashes other than eczema. Physical examination revealed an alert, happy child who avoided bright light. The eyes were prominent with supratemporal swelling bilaterally (Fig 1). Uncorrected References 1. Kendig E: Sarcoidosis . AJDC 1982;136: 11-12. 2. Kataria S, Tevathan G, Holland J, et al: Ocular presentation of sarcoidosis in children . Clin Pediatr 1983;22:793-797.Crossref 3. Obenauf C, Shaw H, Synor C, et al: Sarcoidosis and its ophthalmic manifestations . Am J Ophthalmol 1978;86:648-655. 4. Weinreb R, Kimura S: Uveitis associated with sarcoidosis and angiotensin-converting enzyme . Am J Ophthalmol 1980;89:180-185. 5. Sacher M, Lanzier C, Sobel L, et al: Computed tomography of bilateral lacrimal gland sarcoidosis . J Comput Assist Tomogr 1984;8: 213-215.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Mar 1, 1986

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