Inflamação idiopática da órbita com extensão extra-orbital: relato de caso

Abstract

The authors report a case of a patient with idiopathic orbital inflammation with extension beyond the orbit. Biopsy was performed to confirm the diagnosis of idiopathic orbital inflammation and computed tomography demonstrated the extraorbital extension. Treatment with methotrexate and radiotherapy was used.

Sclerosing orbital pseudotumor

“…It presents a condition similar to inflammatory pseudotumor, but more aggressive and with a worse response to steroids (8) . The diagnosis is obtained by exclusion.For that, the medical history, clinical examination, laboratory tests for differential diagnosis with other diseases (T3, T4, TSH, VHS, glucose, urea, creatinine, blood cultures), CT scan, biopsy and treatment response are evaluated (9) . Systemic corticosteroids are the first line of treatment for orbital pseudotumors, usually starting with a dose of 1 to 2 mg/kg/ day of oral prednisone (2) .…”