비호지킨 림프종의 안와 부속기 침범으로 인한 완전 눈꺼풀처짐 1예

• 영문명: Complete Ptosis Caused by Ocular Adnexal Involvement of Non-Hodgkin lymphoma: A Case Report
• 발행기관: 대한검안학회
• 저자명: 김해랑(Hae Rang Kim) 김보미(Bomi Kim) 이수정(Soo Jung Lee)
• 간행물 정보: 『Annals of optometry and contact lens』Vol.17 No.1, 10~13쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2018.03.30

영문 초록

Introduction: Orbital and ocular adnexal lymphoma is a very rare disease, which can present with various neurological symptoms and visual disturbances. We report a case of complete ptosis as the first clinical presentation of recurrence in Non-hodgkin lymphoma patient who sustained complete remission. Case summary: A 82-year-old man presented with progressive swelling and palpable mass in the left upper eyelid. Complete ptosis of the left eye was noted. When the left upper eyelid was lifted manually, the patient complained of vertical diplopia. Left hypotropia of 8 prism diopters and -1 limitation of upgaze in the left eye were observed. He had sustained complete remission after the completion of the 7th chemotherapy for Non-hodgkin lymphoma 21 months ago. A homogeneous crescentric mass on the left upper eyelid was confirmed on orbit magnetic resonance imaging. The pathology confirmed diffuse large B-cell lymphoma. After chemotherapy, the mass disappeared on the radiologic test. Resolution of diplopia and left hypotropia were observed even though there was no improvement in ptosis of the left eye. Conclusions: Complete ptosis could be a rare clinical presentation of Non-hodgkin lymphoma. Thus, it should be regarded as one of the differential diagnosis for ptosis.

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키워드

Complete blepharoptosis Diffuse large B-cell lymphoma Non-hodgkin lymphoma Orbital lymphoma