Not Right in the Head' - Video

Update Item Information
Identifier walsh_2016_s1_c1-4
Title Not Right in the Head' - Video
Creator Melinda Y. Chang; Janet Lee; Robert A. Goldberg; Stacy L. Pineles
Affiliation Stein Eye Institute, UCLA Los Angeles, CA
Subject Erdheim-Chester Disease; Orbital Inflammation; Optic Histiocytosis Neuropathy; Proptosis; Non-Langerhans Cell
History A 55 year old man presented with eight months of progressive left orbital swelling. His past ocular history was significant for LASIK of the right eye with monovision. His past medical history was significant for melanoma of the left arm, treated by surgical excision, with two negative lymph nodes, as well as hypertension, diabetes mellitus, peripheral neuropathy, and peptic ulcer disease. On ophthalmologic examination, visual acuity at distance was 20/15 OD and 20/80 OS, pinholing to 20/25 OS. There was no afferent pupillary defect. Color plates were 15/15 in both eyes. Hertel exophthalmometry measurements were 20 mm OD and 26 mm OS. Motility was full in both eyes. The left upper eyelid was mildly edematous, and there was moderate conjunctival chemosis of the left eye. The remainder of the ophthalmologic examination was normal. He had no systemic symptoms. Per report, outside MRI of the brain showed diffuse orbital involvement on both sides, with no specific mass or infiltrative features. Initial laboratory tests, including HIV serology, c-ANCA, p-ANCA, and ANA, were all negative. A procedure was performed.
Disease/Diagnosis Erdheim-Chester disease.
Date 2016-02
References Diamond EL, Dagna L, Hyman DM, Cavalli G, Janku F, et al. Consensus guidelines for the diagnosis and clinical management of Erdheim-Chester disease. Blood, 124(4):483-92, 2014. Haroche J, Arnaud L, Cohen-Aubart F, Hervier B, Charlotte F, et al. Erdheim-Chester disease. Curr Rheumatol Rep, 16(4):412, 2014. Kerstetter J, Wang J. Adult Orbital Xanthogranulomatous Disease: A Review with Emphasis on Etiology, Systemic Associations, Diagnostic Tools, and Treatment. Dermatol Clin, 33(3):457-63, 2015. Mazor RD, Manevich-Mazor M, Shoenfeld Y. Erdheim-Chester Disease: a comprehensive review of the literature. Orphanet J Rare Dis, 8:137, 2013.
Language eng
Format video/mp4
Type Image/MovingImage
Source 48th Annual Frank Walsh Society Meeting
Relation is Part of NANOS Annual Meeting Frank B. Walsh Sessions; 2016
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 2016. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s69914nz
Setname ehsl_novel_fbw
ID 179381
Reference URL https://collections.lib.utah.edu/ark:/87278/s69914nz
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