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Editor,—In spite of its rare occurrence there is a well established association between the acquired immune deficiency syndrome (AIDS) and lymphoma, which most of the time is a highly malignant B cell type affecting the central nervous system (CNS).1
Rare cases of lymphomas involving paranasal sinus, orbit, and intraocular structures have been described. This report describes a case of primary lymphoma of the maxillary sinus with orbital and intraocular secondary involvement.
A 28 year old man with AIDS presented with right proptosis and recurrent sinusitis. His CD4+ count was 3 cells ×109/l and viral load 1 343 145 copies. Skull and orbital computed tomograph (CT) scans demonstrated right maxillary sinus opacification, mild right proptosis, and an anterior superotemporal mass in the right orbit. Cerebral image was unremarkable. The ocular examination disclosed right eye proptosis, ptosis, and a visible mass on the temporal area of superior right lid, restricting spontaneous lid opening (Fig 1). There was bilateral lid oedema but no mass could be found …
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