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A 33 year old man with left upper lid swelling
Digital Journal of Ophthalmology 2004
Volume 10, Number 12
December 18, 2004
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Lucas Maischner | Kings College Hospital
Kashif Qureshi | St George's Hospital
Fiona Robinson | Kings College Hospital
Scott Robiee | St George's Hospital
Shahram Kashani | Kings College Hospital
Neelanjana Dutt | Kings College Hospital
History
A 33 year old Caucasian man presented with pain and swelling of the left upper eyelid for 4 months. He had also been suffering from increasing headaches and reported frequent nose bleeds.

There were no visual symptoms of note. He had been diagnosed with Wegener’s Granulomatosis (ANCA positive) 10 years previously, this being treated with immunosuppressive treatment (cyclophosphamide and azathioprine).

He had been off immunosuppressive treatment for 5 years and was well until recent events . Past medical history included hypertension and focal glomerulonephritis secondary to Wegener’s Granulomatosis.
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