International Journal of Ophthalmic PathologyISSN: 2324-8599

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Case Report, Int J Ophthalmic Pathol Vol: 3 Issue: 1

Exophthalmia as a First Manifestation of Epitheliod Hemangioma

Hachicha F1*, Cheour M1, Lajmi H1, Ouederni M1, Brour J1, Baili J2 and Kraiem A1
1Ophthalmology department, Habib Thameur Hospital, Tunis, Tunisia
2Internal Medicine department, Habib Thameur Hospital, Tunis, Tunisia
Corresponding author : Hachicha F
Ophthalmology department, Habib Thameur Hospital, Tunis, Tunisia
E-mail: [email protected]
Received: February 08, 2014 Accepted: March 05, 2014 Published: March 10, 2014
Citation: Hachicha F, Cheour M, Lajmi H, Ouederni M, Brour J (2014) Exophthalmia as a First Manifestation of Epitheliod Hemangioma. Int J Ophthalmic Pathol 3:1. doi:10.4172/2324-8599.1000130

Abstract

Exophthalmia as a First Manifestation of Epitheliod Hemangioma

A 25-year-old man had a three-month history of a slowly progressive exophthalmos of the left eye, fluctuating swelling of the eyelids, and diplopia. We evaluated the exophthalmos using CT and MRI, and performed excisional biopsy and pathologic examination. Histopathological findings were compatible with a diagnosis of epithelioid hemangioma. The main differential diagnosis is Kimura disease but EH is not associated with systemic manifestation. Systemic steroid administration has been used with success. Regular follow up was performed and no evidence of recurrence was observed.

Keywords: Angiolymphoid hyperplasia with Eosinophilia; Epitheliod hemangioma; Exophthalmia; orbital involvement; Kimura disease

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