It's Deja Vu All Over Again

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Identifier walsh_2014_s2_c4-2
Title It's Deja Vu All Over Again
Creator Aileen A. Antonio-Santos; Yanny L. Phillips; Baha El Khatib; Howard T. Chang; David I. Kaufman; Eric R. Eggenberger
Affiliation Michigan State University, Department of Neurology and Ophthalmology East Lansing, MI
Subject Erdheim-Chester disease; Glioblastoma Multiforme; Immunosuppression; Second Malignancy
History A 51-year-old male with a history of amblyopia OD presented in February 1999 with hyperemia, swelling and periorbital pain of the left eye. Visual acuity (VA) was 20/80 OD and 20/25 OS; color vision was 10/11 Ishihara plates OU, and Goldmann perimetry showed an inferior quadrantanopia OS. There was an RAPD OS, a comitant 15-prism diopter esotropia, and a 5-mm proptosis OS. Brain and orbits CT and MRI showed enhancing retrobulbar masses. CBC, CMP, ANA were normal. ESR was 53.Further diagnostic work-up was performed.
Disease/Diagnosis Erdheim-Chester disease and glioblastoma multiforme.
Presenting Symptom A 51-year-old male with a history of amblyopia OD presented in February 1999 with hyperemia, swelling and periorbital pain of the left eye.
Date 2014-03
References 1. Chester W. Uber lipoidgranulomatose. Virchows Arch Pathol Anat. 1930; 279:561-602. 2. Drier A, et al. Cerebral, facial, and orbital involvement in Erdheim-Chester Disease: CT and MRI imaging fidings. Radiology. 2010 May;255:586-94. 3. Confavreux C, et al. Risk of Cancer from azathioprine therapy in multiple sclerosis: a case-control study. Neurology. 1996 Jun;46(6):1607-12. 4. Emile JF, Charlotte F, Amoura Z, Haroche J. BRAF mutations in Erdheim-Chester disease. J Clin Oncol. 2013 Jan;31(3):398. 5. Haroche J, et al. High prevalence of BRAF V600E mutations in Erdheim-Chester disease but not in other non-Langerhans cell histiocytoses. Blood. 2012 Sep;120(13):2700-3. Epub 2012 Aug 9.
Language eng
Format video/mp4
Type Image/MovingImage
Source 46th Annual Frank Walsh Society Meeting
Relation is Part of NANOS Annual Meeting Frank B. Walsh Sessions; 2014
Collection Neuro-Ophthalmology Virtual Education Library: Walsh Session Annual Meeting Archives: https://novel.utah.edu/Walsh/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management Copyright 2014. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6m9366h
Setname ehsl_novel_fbw
ID 179247
Reference URL https://collections.lib.utah.edu/ark:/87278/s6m9366h