Focal Eosinophilic Myositis Affecting the Orbicularis Muscle: Clinical and Image Aspects.

Abstract:

:Focal eosinophilic myositis (FEM) is a rare disease that is even more uncommon in affecting the periocular area. The authors are reporting the first case of FEM occurring in the lower eyelid of a 45-year-old Caucasian female who presented with localized painful area of glossy induration and peau d'orange skin lesion. Magnetic resonance image shows significant hyperintense thickening of the pre-septal orbicularis muscle region on T2-weighted images. Incisional biopsy of the induration revealed marked fibrinoid degeneration of the orbicularis muscle and adjacent fascia, mixed cellular infiltration of lymphocytes and eosinophils and a predominant CD8+ lymphocytic infiltrates in the immunohistochemical study. The final diagnosis was FEM. Oral prednisolone improved symptoms and the lesions disappeared, with no recrudescence in a one year follow-up.

authors

Galindo-Ferreiro A,Torres Nieto MA,Barbado Ajo J,Schellini S

doi

10.1097/IOP.0000000000001567

subject

Has Abstract

pub_date

2020-03-01 00:00:00

pages

e51-e53

issue

2

eissn

0740-9303

issn

1537-2677

pii

00002341-202003000-00036

journal_volume

36

pub_type

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