NONSPECIFIC INFLAMMATION OF THE ORBIT: FEATURES OF DIAGNOSIS AND TREATMENT
Abstract
The article presents the clinical features, efficiency of diagnostic and therapeutic methods for nonspecific inflammation of the orbit. On the basis of complex examination orbital pseudotumor was established in 16 patients: 6 (37,5%) males, 10 (62,5%) females aged 14-77. All patients received systemic therapy with steroids and immunosuppressive drugs. According to localization of pathological changes the following diagnoses were made: dacryadenitis - 3 (18%), myositic pseudotumor - 8 (50%), diffuse orbital lesion - 5 (31%) patients. Ultrasound imaging of the orbit showed a preferential location and approximate dimensions of pseudotumor. Multispiral computed tomography and magnetic resonance imaging of orbit with contrast apopeared to be most informative. Histological examination revealed lymphocyte infiltration of the tissues, fibrosis and necrosis. Complete arrest of inflammation was observed in 9 (57%) patients after 3 months on the background of steroid therapy, the remaining patients required a longer course of treatment, including immunosuppressants.Thus, diagnosis of "Orbital Pseudotumor" is established by exclusion of other pathology of the orbit. The treatment is based onsuppression of autoimmune inflammation.
About the Authors
E. A. Drozdova
ФГБОУ ВО «Южно-Уральский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
L. E. Semenova
ГБУЗ «Челябинский областной клинический центр онкологии и ядерной медицины»
Russian Federation
Russian Federation
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Review
For citations:
Drozdova E.A., Semenova L.E. NONSPECIFIC INFLAMMATION OF THE ORBIT: FEATURES OF DIAGNOSIS AND TREATMENT. Bashkortostan Medical Journal. 2018;13(1):77-81. (In Russ.)
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