1. [Bilateral conjunctival oedema as a symptom of adrenal adenocarcinoma].
- Author
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Paz Moreno-Arrones J and Montes-Mollón MÁ
- Subjects
- Adenocarcinoma diagnosis, Adenocarcinoma drug therapy, Adenocarcinoma secondary, Adenocarcinoma surgery, Adrenal Cortex Neoplasms diagnosis, Adrenal Cortex Neoplasms drug therapy, Adrenal Cortex Neoplasms surgery, Adrenalectomy, Aged, Antineoplastic Combined Chemotherapy Protocols therapeutic use, Cisplatin administration & dosage, Combined Modality Therapy, Conjunctival Diseases diagnosis, Cushing Syndrome diagnosis, Cushing Syndrome drug therapy, Cushing Syndrome surgery, Cyclophosphamide administration & dosage, Diabetes Mellitus, Type 2 complications, Doxorubicin administration & dosage, Edema diagnosis, Etoposide administration & dosage, Fatal Outcome, Female, Humans, Hydrocortisone metabolism, Ketoconazole therapeutic use, Lung Neoplasms secondary, Neoplasm Recurrence, Local, Paraneoplastic Syndromes diagnosis, Respiratory Insufficiency etiology, Vincristine administration & dosage, Adenocarcinoma complications, Adrenal Cortex Neoplasms complications, Conjunctival Diseases etiology, Cushing Syndrome etiology, Edema etiology, Paraneoplastic Syndromes etiology
- Abstract
Clinical Case: We present a case of a 67-year-old female suffering for bilateral conjunctival oedema that did not improve with antibiotic and antiinflammatory treatment. After a complete systemic examination she was diagnosed with an adrenal adenocarcinoma and treated by surgery and chemotherapy. The conjunctival chemosis subsequently improved. Unfortunately the patient died of respiratory failure due to metastasis., Conclusion: We emphasise the need of an exhaustive and complete examination by the ophthalmologist in cases of non-responders to topical antibiotic and antiinflammatory treatment in patients with bilateral conjunctival oedema, in order to make a correct diagnosis of systemic potentially lethal diseases., (Copyright © 2010 Sociedad Española de Oftalmología. Published by Elsevier Espana. All rights reserved.)
- Published
- 2011
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