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題名:KIMURA'S DISEASE OF ORBIT AND ELBOW IN AN ASIAN CHILD──A CASE REPORT     (14點)
發生於亞洲小孩之眼窩及手肘雙重病灶Kimura氏病──病例報告
著者:Chin-yun Chen(陳矜芸) ;Cheng-Hsien Chang(張丞賢) ;Shyh-Shih Chiou(邱世欣)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Kimura's disease ; orbit ; children ; proptosis
刊名:中華民國眼科醫學會雜誌
卷期:49卷2期(2010.6)
頁碼:241-247
語言:英語
摘要:
目的:報告一例罕見發生於亞洲小孩之眼窩及手 肘雙重病仕Kim叮a氏病,並以類固醇及azatlùoprine 治療成功。 方法:病例報告。 結果:一位十歲男孩發現在最近一年來左眼突出 且左上眼皮腫脹,但無複視或是疼痛的現象,全身檢 查時發現右手肘亦有一無痛之腫塊,且有右服下及左 頸部淋巴結腫大。斷層掃描顯示左眼下直肌腫脹及淚 腺腫瘤,右手肘有一合併淋巴結侵犯之腫塊。他接受 右手肘腫塊及右服下及左頸部淋巴結切除手術'病理 報告診斷為阻mura氏病,他並未接受左眼窩腫塊或下 直肌切片手術'只接受口服類固醇起始劑量每天60 毫克及azatlùoprine 每公斤體重1 毫克的治療六個月 後,左眼突出及上眼皮腫脹均獲得完全緩解。 結論:我們報告一例罕見發生於小孩的雙重 Kimura氏病,提醒眼科醫師在過到眼窩腫瘤時亦須做 全身性的整合評估,檢視是否有合併其他部分腫塊, 以幫助深部眼窩腫瘤之診斷。于術治療時須考量長期 併發症產生,而避免不必要的手術。
Purpose: To repo川a rare case of Kimura's disease occurring in the orbit and elbow in an Asian child. Method: Case repo吋. Result: A 10-year-old boy presented with progressive protrusion of the left eye for one year without diplopia. His left upper eyelid was swollen, but painless. A second swelling lesion was noted over the right elbow. Orbital computed tomography (CT) revealed left lacrimal gland and lateral rectus muscle enlargement. Right elbow mass magnetic resonance imaging (MRI) showed high signal intensity of the infiltrative strands over soft tissue and enlarged Iymph nodes. He received excision of the right elbow mass and Iymph nodes of right axillary and left cervical region and the histopathological examination revealed Kimura's disease. Instead of receiving excision of the left orbital mass, he was treated with oral steroid and azathioprine for six months. Proptosis was improved, and MRI showed complete remission of orbital mass. Conclusion: In this rare case of double-Iesion Kimu悶's disease, biopsy of the subcutaneous lesion helps the diagnosis of mass in deep orbit. We remind the ophthalmologist that a complete systematic evaluation should be made, which may help diagnosis of orbital tumor. Unnecessa叩surgical intervention should be avoided in the cases of benign orbital tumor.


    

本卷期目次
中華民國眼科醫學會雜誌 49卷2期 (2010.6)
誘導多功能幹細胞在網膜退化性疾病之應用/ 方怡謨
黃斑圓孔/ 游建章
氧化壓力(oxidative stress)與糖尿病視網膜病變/ 王律鈞
息肉狀脈絡朕血管病變/ 楊長豪
台北市低視能病患健康檢查及健康促進生活型態調查/ 蔡明足吳宗燕翁林仲蔡景耀
EARLY LASER TREATMENT FOR ADVANCED RETINOPATHY OF PREMATURITY/ Chia-Min WuJia-Kang Wang
QUANTIFICATION OF RETINAL NERVE FIBER LAYER THICKNESS IN HIGHL Y MYOPIC EYES USING OPTICAL COHERENCE TOMOGRAPHY/ Chi-Hsin HsuYung-Feng Shih
CLINICAL AND OCT CHARACTERISTICS OF PERIPAPILLARY DETACHMENT IN PATHOLOGIC MYOPIA/ Tien-Ying Fan ChiangShu-I YehWei-Chun ChanLee-Jen Chen
台灣研究植入多焦點人工水晶體在生活品質及視覺功能之成果/ 謝靜茹何一滔林克忠尤之浩
LONG-TERM FOLLOW-UP OF CONGENITALANIRIDIA ──A CASE REPORT/ Yu-Hung GuoAn-Fei LiYu-Chi LiuShui-Mei Lee
ORBITAL EMPHYSEMA──A CASE REPORT/ Wei-Ting LiuChieh-Chih TsaiPei-Yu LinShu-Ching KaoShui-Mei Lee
LEUKEMIC INFILTRATION OF THE OPTIC NERVE WITH INTRAOCULAR EXTENSION IN RELAPSING ACUTE LYMPHOBLASTIC LEUKEMIA/ Yao-Chung ChangChun-Yuan Wang
IMMUNOHISTOCHEMICAL STUDIES OF CONJUNCTIVAL MUCOSA-ASSOCIATED LYMPHOID TISSUE LYMPHOMA/ Chia-Hung LiJiann-Tomg ChenHemg-Sheng LeeJy-Been Liang
UPPER EYELID COLOBOMAASSOCIATED WITH CONGENITAL HEART DISEASE──A RARE CASE REPORT/ Hsiu-Fen LinJui-Pin LaiWu-Ping LoHuan-Chen HsuHui YangChing-Liang Kuo
CORNELIA DE LANGE SYNDROME──A CASE REPORT/ Chia-Ming HsuChiu-Tung ChuangPao-Ching ChiuTsun-Tien WuShwu-Jiuan Shen
A RARE CASE OF ORBITAL ROSAI-DORFMAN DISEASE, WITH INTRACRANIAL EXTENSION/ Pei-Fen HsuSui-Chia SungJack Yu-Shin LinChien-Liang Wu
IRIS CYST WITH TREATMENT OF Nd:YAG LASER IRIDOCYSTOTOMY/ Chan-Wei NienHung-Yu LinChing-Yang LinShih-Chun Chao
DIFFUSE IRIS MALIGNANT MELANOMA WITH SECONDARY GLAUCOMA──A CASE REPORT/ Pei-Yuan SuJehn-Yu HuangChi-Huang Hsiao
KIMURA'S DISEASE OF ORBIT AND ELBOW IN AN ASIAN CHILD──A CASE REPORT/ Chin-yun ChenCheng-Hsien ChangShyh-Shih Chiou
UNILATERAL PANUVEITIS AND OCCLUSIVE RETINAL ARTERITIS IN A PATIENT WITH SYSTEMIC SCLEROSIS/ Chih-Jen LinYo-Chen ChangKai-Chun ChengWen-Chuan Wu
REFRACTORY ORBITAL PSEUDOTUMOR TREATED SUCCESSFULLY BY POSTERIORLY INTRAORBITAL INJECTION OF TRIAMCINOLONE ACETONIDE──A CASE REPORT/ Hsiang-Wen ChienSzu-Yuan LinI-hua WangJieh-Ren Jou
以雙眼弓漿蟲視網膜目良炎為起始表現的後天免疫缺乏症候群──病例報告/ 何采璇莊秋同龔雅欣吳宗典許淑娟
 
   
 
   

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