ABSTRACT
PURPOSE: To report the clinicopathologic features of a series of patients with Melkersson-Rosenthal syndrome (MRS). METHODS: Patients in this clinicopathological case series were identified through retrospective review. Five Caucasian patients (2 women and 3 men; age range, 46 to 73 years) with isolated eyelid swelling presented over an 11-month period to two Canadian tertiary Oculoplastic referral centres. All underwent clinical examination and had tissue biopsies. RESULTS: The patients presented with non-pitting, non-pruritic, painless and recurrent eyelid swelling. None had evidence of cranial nerve palsy or fissured tongue. The duration of symptoms before referral was between 1-5 years. Histopathological examination showed granulomatous inflammation in four patients. Granulomatous folliculitis was a novel finding in three patients. CONCLUSIONS: Monosymptomatic patients with MRS require a high index of suspicion. Histopathological confirmation is vital for the diagnosis.
Subject(s)
Eyelid Diseases/pathology , Eyelids/pathology , Melkersson-Rosenthal Syndrome/pathology , Adrenal Cortex Hormones/therapeutic use , Aged , Biopsy , Diagnosis, Differential , Edema/drug therapy , Eyelid Diseases/drug therapy , Female , Humans , Male , Melkersson-Rosenthal Syndrome/drug therapy , Middle Aged , Retrospective StudiesABSTRACT
PURPOSE: To evaluate the imaging characteristics of a cohort of patients with ocular adnexal lymphoproliferative disease (OALD). METHODS: A noncomparative retrospective review between 1992 and 1995 and prospective study from 1995 to 2005 of the clinical, imaging and treatment of 105 patients presenting to tertiary orbital referral centre presenting with OALD. RESULTS: One hundred and five patients (mean age 61 years, range 11-90 years) with equal gender distribution were included. Fifty-three were primary and 52 were secondary. Computed tomography (CT) usually showed a well-circumscribed lesion of greater than brain density, moulding to adjacent tissues with moderate enhancement. Aggressive histology was associated with bone destruction, while moulding was associated with indolent histology (P<0.005).MRI in OALD showed intermediate signal intensity on T1- and T2-weighted images and moderate enhancement with gadolinium. Gallium scanning sensitivity to detect ocular adnexal disease was 25 and 57% for systemic involvement. Positron emission tomography (PET) upstaged (71%) of patients with systemic lymphoproliferative involvement, having a higher sensitivity than CT in detecting distant disease (86 vs 72%). CONCLUSIONS: CT and/or MRI are essential in the evaluation of OALD and can be used to establish that an orbital lesion may be lymphoprolifetaive in nature. Further, these imaging modalities may predict the behaviour of the lymphoma in certain cases. Gallium scanning provides no additional information to CT and does not influence patient treatment. PET represents an important addition to the assessment of OALD with real impact on patient management.
Subject(s)
Eye Neoplasms/diagnosis , Lymphoma/diagnosis , Adolescent , Adult , Aged , Aged, 80 and over , Child , Conjunctival Neoplasms/diagnosis , Eyelid Neoplasms/diagnosis , Female , Humans , Lacrimal Apparatus Diseases/diagnosis , Magnetic Resonance Imaging , Male , Middle Aged , Orbital Neoplasms/diagnosis , Positron-Emission Tomography , Prospective Studies , Retrospective Studies , Tomography, X-Ray ComputedABSTRACT
Four new species of Criconematoidea are described from Hoste Island, Chile. Criconema certesi n. sp. is distinguished by the fine, spine-like, cuticular extensions on body annuli; projection of annuli into rows of scales on posterior part of body; single, smooth, labial annulus set off by short collar from second (first body) annulus which is about same diameter as first (labial) annulus. Male with prominent caudal alae, slender curved spicules, and four incisures in lateral field. Ogma terrestris n. sp. is distinguished by small scales with rounded tips bearing minute, short bristles; scales number 21 at mid-body; and first (labial) annulus rounded, not retrorse, not set off from succeeding annuli, narrower in diameter from second (first body) annulus. Hemicycliophora macrodorata n. sp. is distinguished by its large size (L = 1.52 [1.28-1.72] mm); large stylet (146 [127-161] mum); annuli = 297 (280-315); tail slightly spicate, lateral field with or without interruptions of incisures, occasional anastomoses; and males with U-shaped spicules. Paratylenchus fueguensis n. sp. is distinguished by its prominent stylet with large, rounded knobs (4-5 mum across); cephalic region rounded not at all set off; lateral field with four incisures; lateral vulvar membranes present; and male tail short, strongly curved (almost 180 degrees ) ventrad.
ABSTRACT
Two new species of nematodes from southern Chile are described and illustrated. Pratylenchus australis n. sp. is distinguished by its heavy cephalic sclerotization, smooth tail terminus, lack of spermatheca, and absence of males. Eutylenchus fueguensis n. sp. differs from other Eutylenchus spp. by the long female stylet (31 [28-32] mum), strongly sclerotized excretory duct opening posterior to nerve ring, and broadly rounded caudal alae of males.