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Multiple myeloma presenting as bilateral orbital proptosis
Journal article   Open access   Peer reviewed

Multiple myeloma presenting as bilateral orbital proptosis

Archana Malik, Subina Narang, Uma Handa and Sunandan Sood
Indian journal of ophthalmology, v 57(5), pp 393-395
01 Sep 2009
PMID: 19700882
url
https://doi.org/10.4103/0301-4738.55069View
Published, Version of Record (VoR) Open

Abstract

Brief Communications
A 58-year-old-man presented with painful rapidly progressive bilateral proptosis with restricted ocular movements of 15 days duration. There was history of significant weight loss in the recent past. Computed tomography scan of the head and orbit revealed bilateral multiple, well-defined, round, soft tissue masses, isointense with muscles in intraconal and extraconal space. Fine needle aspiration cytology and incision biopsy from the lesion, urine for Bence-Jones proteins and immunofixation clinched the diagnosis of multiple myeloma. Skeletal survey did not reveal any bony involvement. The diagnosis of multiple myeloma should be kept in mind in cases of bilateral proptosis. Bony involvement is not universal in cases of orbital myeloma. Early diagnosis can be established with extensive biochemical and histopathological investigations and timely treatment is life saving for these patients.

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Ophthalmology
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