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Unilateral proptosis

A Oakhill, H Willshaw, J R Mann

    Archives of Disease in Childhood
    |July 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Unilateral proptosis in children is often linked to malignancy, with a higher proportion observed in recent studies. Inflammatory causes like ethmoiditis seem less frequent due to antibiotic use for infections.

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    Area of Science:

    • Ophthalmology
    • Pediatric Oncology
    • Otolaryngology

    Background:

    • Unilateral proptosis in children presents a diagnostic challenge.
    • Previous studies indicated a higher prevalence of inflammatory causes.

    Purpose of the Study:

    • To investigate the causes of unilateral proptosis in pediatric patients.
    • To compare the current etiological distribution with historical data.

    Main Methods:

    • Retrospective analysis of 27 pediatric cases with unilateral proptosis over 8.5 years.
    • Clinical data review including diagnosis and treatment outcomes.

    Main Results:

    • Malignancy was diagnosed in 63% (17/27) of cases, a significant increase compared to prior reports.

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  • Inflammatory conditions, such as ethmoiditis, appeared less common.
  • Decreased incidence of inflammatory proptosis may correlate with antibiotic use for upper respiratory infections.

    • Conclusions:

    • Malignancy is the leading cause of unilateral proptosis in children.
    • Early diagnosis and management are crucial for better outcomes.
    • Antibiotic prophylaxis may be reducing inflammatory causes of proptosis.