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Proptosis as the manifesting sign of Weber-Christian disease
1University of California, Davis, School of Medicine, USA.
Purpose:
To identify proptosis as a manifesting sign of Weber-Christian disease (recurrent febrile nodular panniculitis).
Method:
Case report. A 61-year-old man had signs of right proptosis and orbital inflammation that resolved with oral corticosteroid therapy. Orbital inflammation later recurred with associated cutaneous nodules, myalgia, nausea, and malaise.
Results:
Rheumatologic evaluation and subcutaneous nodule biopsy led to the diagnosis of Weber-Christian disease. The patient required systemic immunosuppressive agents to control the disease.
Conclusion:
This case shows the rare finding of proptosis as the manifesting sign of Weber-Christian disease.
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