ABSTRACT
A 55-year-old man presented with unilateral orbital inflammation and no light perception vision. Imaging revealed infiltrative enhancement of the optic nerve, orbit, and intracranial tissue. The case was suspicious for invasive fungal disease, but ultimate workup and orbital biopsy revealed granulomatosis with polyangiitis. The patient’s inflammation resolved with corticosteroid and rituximab therapy. Granulomatosis with polyangiitis is a systemic vasculitis that can mimic a number of orbital pathologies.
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Additional information
Notes on contributors
David Xu
DX: acquisition, analysis, interpretation, drafting of manuscript, critical revision, supervision
Shawn R. Lin
SRL: analysis, interpretation, drafting of manuscript, critical revision
Laura Bonelli
LB: analysis, interpretation, drafting of manuscript, critical revision
Ben J. Glasgow
BJG: analysis, interpretation, drafting of manuscript, critical revision
Robert A. Goldberg
RAG: analysis, interpretation, drafting of manuscript, critical revision