TY -的A2 Boboridis考斯塔斯。g . AU - Ajhoun Yousra盟——Aissa伊斯梅尔盟——Abdellaoui Taoufik盟——Roqai亚斯明Chaoui盟——Benchafai伊利亚斯盟——Messaoudi Redouan盟——Zerrouk Rachid AU -里达,卡里姆盟——Oubaaz Abdelbarre PY - 2020 DA - 2020/04/08 TI -眼眶蜂窝织炎应急方面在多大程度上能够影响上颌窦淋巴瘤的诊断?我们报告一例46岁女性急诊因右眼睑急性肿胀和红斑3天入院。眼科检查显示10/10,P2最佳视力，眼眶周炎性水肿，无眼球突出和眼外运动障碍。眼压为14mmhg，眼底检查未发现任何异常。诊断为隔前蜂窝织炎，并立即开始口服生物治疗;72小时后，病人没有好转，并开始抱怨眼部活动疼痛。脑部及眼眶MRI扫描显示右隔后蜂窝织炎伴同外侧全鼻窦炎。静脉抗生物治疗与口服皮质类固醇开始同时导致完全缓解，但与类固醇依赖;服用强的松5天后，眼窝蜂窝织炎症状再次出现。采用相同的治疗方案，但皮质类固醇在数周内逐渐减少。 Nevertheless, steroid dependency persisted. Except for the inflammatory syndrome, complete biological examinations did not disclose any abnormalities. The patient underwent maxillary sinus and fat orbital biopsy; however, histopathological examination was not contributory. Persistence of steroid dependency, chronic atypical rhinosinusitis, normal paraclinical investigations, and age of patient let us suspect lymphoma origin hidden by chronic corticosteroid. We carried out for the second time a maxillary sinus biopsy after stopping steroids, which disclosed primitive non-Hodgkin lymphoma of the maxillary sinus. The aim of this observation is firstly to evoke though it is exceptional the diagnosis of maxillary lymphoma in case of atypical orbital cellulitis and secondly to incite clinicians to be more vigilant in prescribing corticosteroid even if there is an emergency character of orbital cellulitis. SN - 2090-6722 UR - https://doi.org/10.1155/2020/2304861 DO - 10.1155/2020/2304861 JF - Case Reports in Ophthalmological Medicine PB - Hindawi KW - ER -