Presenting symptoms/signs included soft tissue swelling in 92% of orbits, pain in 92%, proptosis in 85%, and extraocular muscle dysfunction or ptosis in 69%. Decreased visual acuity was seen in only 19% of orbits. [ncbi.nlm.nih.gov]

Enhancing inflammatory soft tissue swelling with ragged, 'fluffy' margins is seen. When the extra-ocular muscles are involved, the tendinous insertions are not spared. [ajnr.org]

ESR: 25 Figure 1 : Patient on presentation with ptosis, proptosis, periorobital erythema and edema Figure 2 : On slit lamp exam, the patient had 360 degrees of chemosis; pharmacologically dilated pupil Figure 3: Axial CT of the orbits showing soft tissue [webeye.ophth.uiowa.edu]

This revealed only soft tissue swelling in the anterior right orbit. The sinuses appeared normal. On day 11, a biopsy of the mass was obtained. [healio.com]

tissue swelling improvement, 82% with improvement in proptosis, 78% with improved ocular motility restriction and 75% had decreased pain. [eyewiki.aao.org]

Four months after his first visit, the patient's condition was complicated by fever, general fatigue, and hypoxemia. A cell marker study of the swollen lymph node showed monoclonality, indicating the development of non-Hodgkin's lymphoma. [ncbi.nlm.nih.gov]

Chronic nasal discharge, obstruction, epistaxis, sinusitis, hemoptysis, and persistent cough are the most frequent initial complaints.13 Fever, constitutional symptoms, arthralgia, skin lesions, and neurological symptoms are also frequent, though not [healio.com]

Wegener's granulomatosis should always be considered as a diagnosis in children with pseudotumor of the orbit, especially those with sinusitis, chronic cough, epistaxis, anemia, or fever. [healio.com]

/VI systolic ejection murmur was noted. Laboratory results included: BUN 55 mg/dl and creatinine 3.2 mg/dl; the urine was dark with too numerous to count RBCs and 2 protein. [healio.com]

A 39-year-old woman developed bilateral proptosis, photophobia, and pain with extraocular movements over the course of 5 days. [ncbi.nlm.nih.gov]

Eye examination showed bilateral proptosis [Figure 1] ; 35 mm in left and 33 mm in the right eye as measured by Hertel's exopthalmometer, conjunctival injection, and mild chemosis with mild exposure keratitis. [ojoonline.org]

Conjunctival pallor was noted. Laboratory studies demonstrated a hematocrit of 14.2% with a hemoglobin of 4.6 mg/dl. Red blood cell indices were mildly hypochromic and microcytic. [healio.com]

In the acute form of the disease, patients present with unilateral eye pain, lid swelling, proptosis, and occasionally vision loss. In the chronic form, patients present with diplopia. [ajnr.org]

We report a child with persistent fevers, arthritis, and parvoviral infection who subsequently developed unilateral orbital pseudotumor, lytic bone lesions, bilateral anterior uveitis, band keratopathy, and migratory polyarthritis. [ncbi.nlm.nih.gov]

Three male and three female patients, aged 27 to 74 years, presented with a variety of ophthalmologic problems, including orbital swelling, chemosis, proptosis, blepharoptosis, restricted eye motion, diplopia, and visual loss. [ncbi.nlm.nih.gov]

Dabbage S, Chevalier RL, Sturgill BC: Prolonged anuria and aortic insufficiency in a child with Wegener's granulomatosis. Clin Nephrol 1982; 17:155-159. 29. [healio.com]

Specific factors to consider include the following: chronicity of illness, degree of pain, history of trauma or recent procedure, presence of visual changes, presence of proptosis, presence of fever, restriction of eye movement, cranial nerve involvement [emra.org]

An anergy panel was unreactive. Serum immunoglobulins IgG, IgA, and IgE were slightly elevated. Chest x-ray demonstrated multiple peripheral nodules under three cm (ill-defined) without cavitation. [healio.com]

On day 12, after a normal chest x-ray was obtained, the patient was started on prednisone (60 mg/day). A dramatic decrease in lid swelling ensued. [healio.com]

Laboratory evidence of elevated erythrocyte sedimentation rate, anemia, leukocytosis, thrombocytosis, hyperglobulinemia, especially of the IgG and IgA is characteristic in Wegener's granulomatosis. [healio.com]