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Adult orbital xanthogranuloma with periosteal infiltration
  1. R Malhotra,
  2. R G B Porter,
  3. D Selva
  1. Oculoplastic and Orbital Unit, Department of Ophthalmology, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia
  1. Correspondence to: Dinesh Selva

https://doi.org/10.1136/bjo.87.1.120-a

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    A case of orbital xanthogranuloma is presented. The radiological and clinicopathological feature of diffuse periosteal infiltration, to the authors’ knowledge, has never previously been reported.

    Case report

    A 64 year old woman was referred to the orbital clinic with a 2 year history of bilateral yellow cutaneous lesions on the upper and lower eyelids. She was otherwise well, under regular haematological review for a monoclonal gammopathy of uncertain significance. Examination revealed firm subcutaneous masses underlying the skin lesions, bilateral yellow episcleral infiltrates inferotemporally, and 2 mm bilateral proptosis (Hertel readings 24 mm each eye at 110 mm) (Fig …

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