Adult orbital xanthogranuloma with periosteal infiltration
- Oculoplastic and Orbital Unit, Department of Ophthalmology, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia
- Correspondence to: Dinesh Selva
- Accepted 25 July 2002
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 …
