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The International Journal on Orbital Disorders, Oculoplastic and Lacrimal Surgery
Volume 31, 2012 - Issue 2
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Letter to the Editor

Orbital Bruit in Churg–Strauss Orbitopathy; A Novel Sign

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Pages 65-66 | Received 17 Jun 2011, Accepted 10 Oct 2011, Published online: 10 Apr 2012

Figures & data

FIGURE 1  Patient with CSS, with bilateral asymmetric periocular edema and proptosis (top left). Subconjunctival nodules on the superior bulbar conjunctival surface (bottom left). Reduced periorbital soft tissue swelling and proptosis following treatment with systemic corticosteroids (top right). Histology of biopsied conjunctival nodules shows the presence of a prominent number of eosinophils with necrotising eosinophilic granulomata, in keeping with CSS (bottom right).

FIGURE 1  Patient with CSS, with bilateral asymmetric periocular edema and proptosis (top left). Subconjunctival nodules on the superior bulbar conjunctival surface (bottom left). Reduced periorbital soft tissue swelling and proptosis following treatment with systemic corticosteroids (top right). Histology of biopsied conjunctival nodules shows the presence of a prominent number of eosinophils with necrotising eosinophilic granulomata, in keeping with CSS (bottom right).

FIGURE 2  Coronal MRI showing mucosal thickening within the paranasal sinuses (left). Axial MRI showing bilateral orbital proptosis, more severe on the left (centre). CTA showing normal cavernous sinuses in the arterial phase (right).

FIGURE 2  Coronal MRI showing mucosal thickening within the paranasal sinuses (left). Axial MRI showing bilateral orbital proptosis, more severe on the left (centre). CTA showing normal cavernous sinuses in the arterial phase (right).

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