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Letter to the Editor
Isolated episcleral plasmacytoma mimicking episcleritis in a patient with benign monoclonal gammopathy
  1. C AUW-HAEDRICH,
  2. A SCHMITT-GRÄFF,
  3. H WITSCHEL
  1. Universitäts-Augenklinik
  2. Killianstrasse 5
  3. D-79106, Freiburg
  4. Germany

    https://doi.org/10.1136/bjo.85.10.1260d

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      Editor,—We present the unique case of a patient with an isolated plasmacytoma of the episclera mimicking a painful episcleritis. Plasmacytomas usually grow in the bone marrow probably because of their special homing receptors1—for example, α4β1 integrin.2 Solitary plasmacytic tumours outside the bone marrow are rare. They mostly involve the oropharynx and the upper respiratory tract, but have also been encountered in the lids, the orbit, and the palpebral conjunctiva.3-5 Only one case of a solitary epibulbar plasmacytoma with intraocular invasion has been reported yet.6

      CASE REPORT

      A 61 year old patient presented with an ”inflammatory” episcleral nodule within the lower temporal quadrant and mild pain in his left eye (Fig 1), which had already lasted 5 months and had been diagnosed as episcleritis. There was no evidence of rheumatic disease; ANA and ANCA were negative. Neither dexamethasone eyedrops …

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