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25 year old kickboxer with progressive proptosis
Digital Journal of Ophthalmology 1997
Volume 3, Number 26
September 24, 1997
Scott C. Brun, MD | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
Peter A.D. Rubin, M.D. | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
DIAGNOSIS AND DISCUSSION
Orbital CT: Axial, showing an expansile soft tissue mass obliterating the greater wing of the sphenoid bone.
Orbital CT: Coronal bone window, showing scalloping of the greater wing of the sphenoid bone indicating bony destruction.
Histology revealed a number of large histiocytes with scattered eosinophills, lymphocytes and plasma cells.
Electron microscopy demonstrated the presence of Birbeck granules (arrow) within a few of the histiocytes.
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