tailieunhanh - Báo cáo y học: "Linear scleroderma as a rare cause of enophthalmos: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Linear scleroderma as a rare cause of enophthalmos: a case report. | Journal of Medical Case Reports BioMed Central Open Access Case report Linear scleroderma as a rare cause of enophthalmos a case report Bertie S Fernando Paul S Cannon Krishna Tumuluri and Anne E Cook Address Department of Oculoplastics Manchester Royal Eye Hospital Oxford Road Manchester M13 9WH UK Email Bertie S Fernando - bertiefernando@ Paul S Cannon - pscan05@ KrishnaTumuluri - ktumuluri@ Anne E Cook - cookydoc@ Corresponding author Published 14 December 2007 Received I August 2007 -. J . JAccepted 14 December 2007 Journal of Medical Case Reports 2007 1 179 doi 1 752-1947-1-179 This article is available from http content 1 1 179 2007 Fernando et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Enophthalmos is an important physical sign which can be easily missed. Case presentation A 64-year old female presented with painless and progressive shrinking of her right eye. Visual acuity was 6 6 in both eyes. The main clinical findings included exophthalmometry readings of 14 mm in the right eye and 22 mm in the left eye and a linear scar on her right forehead. This scar is a feature of linear scleroderma and called en coup de sabre . She was referred to a dermatologist for further assessment. Conclusion Enophthalmos is defined as the relative recession of the globe into the bony orbit and if measuring greater than 2 mm can give a noticeable cosmetic deformity. Scleroderma is a systemic or localised disease. Linear scleroderma has the following features-localised fibrosis of the skin blood vessels subcutaneous fat muscle and sometimes bone. .