PMID- 7630626 OWN - NLM STAT- MEDLINE DCOM- 19950907 LR - 20180217 IS - 0030-3755 (Print) IS - 0030-3755 (Linking) VI - 209 IP - 3 DP - 1995 TI - Elevated anti-neutrophil cytoplasmic antibody titer in a patient with atypical orbital pseudotumor. PG - 172-5 AB - We recently examined a patient with ophthalmic manifestations of Wegener's granulomatosis in whom antineutrophil cytoplasmic antibody (cANCA) titers provided helpful diagnostic information. A 40-year-old man who had suffered from bilateral exophthalmos for 9 months was diagnosed initially as having idiopathic inflammatory pseudotumor. The patient exhibited purulent nasal discharge and microhematuria. A histopathologic study revealed vasculitis. His ANCA titer for cANCA was found to be evaluated, and our patient was subsequently diagnosed as having Wegener's granulomatosis. His ocular symptoms resolved and did not recur after treatment with corticosteroid in combination with cyclophosphamide. We believe that cANCA levels should be investigated in patients with orbital pseudotumor as a possible sign of Wegener's granulomatosis. FAU - Yamashita, K AU - Yamashita K AD - Third Department of Internal Medicine, Shimane Medical University, Japan. FAU - Kobayashi, S AU - Kobayashi S FAU - Kondo, M AU - Kondo M FAU - Ishikura, H AU - Ishikura H FAU - Shibuya, Y AU - Shibuya Y FAU - Hayasaka, S AU - Hayasaka S LA - eng PT - Case Reports PT - Journal Article PL - Switzerland TA - Ophthalmologica JT - Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde JID - 0054655 RN - 0 (Antibodies, Antineutrophil Cytoplasmic) RN - 0 (Autoantibodies) RN - 0 (Biomarkers) SB - IM MH - Adult MH - Antibodies, Antineutrophil Cytoplasmic MH - Autoantibodies/*analysis MH - Biomarkers MH - Exophthalmos/diagnosis MH - Fluorescein Angiography MH - Fundus Oculi MH - Granulomatosis with Polyangiitis/*diagnosis MH - Humans MH - Male MH - Orbit/diagnostic imaging/pathology MH - Orbital Pseudotumor/*diagnosis MH - Retinal Vessels/pathology MH - Tomography, X-Ray Computed MH - Vasculitis/diagnosis EDAT- 1995/01/01 00:00 MHDA- 1995/01/01 00:01 CRDT- 1995/01/01 00:00 PHST- 1995/01/01 00:00 [pubmed] PHST- 1995/01/01 00:01 [medline] PHST- 1995/01/01 00:00 [entrez] AID - 10.1159/000310606 [doi] PST - ppublish SO - Ophthalmologica. 1995;209(3):172-5. doi: 10.1159/000310606.