Isolated Myositis of the Levator Muscle

單發性提上眼瞼肌炎

李尹暘(Inn-Yaing Lee) ； 徐正雄(Jeng-Shyong Shyu)

《中華民國眼科醫學會雜誌》 38卷1期 (1999/03) Pp. 87-91

https://doi.org/10.30048/ACTASOS.199903.0013

摘要

本篇報告一例四十四歲女性，主訴三個月來左眼上眼瞼逐漸腫脹，眼科學檢查發現左眼眼瞼下垂合併提上眼瞼肌功能受損。電腦斷層中顯示在左眼提上眼瞼肌上有一個高顯影的腫瘤。病患在本院接受腫瘤切除手術，並由病理學檢查中得到提上眼瞼肌炎的診斷。術後病患表現嚴重眼瞼下垂，於兩個月後再接受前額縫吊術。在十四個月的追踪下病患沒有表現任何全身或眼睛方面的症狀。因此種病例極少見，故特別提出報告以供參考，對於提上眼瞼肌腫瘤，應將提上眼瞼肌炎﹃偽腫瘤﹄列入鑑別診斷，並嘗試以類固醇先治療之。

並列摘要

A 44-year-old woman presented with a progressively enlarged upper lid mass for 3 months. Physical examination showed severe ptosis and impairment of the levator function. CT scan revealed a high density mass over left levator. Excision of the mass was made and levator myositis was diagnosed by the histopathological finding. Fourteen months after frontalis suspension for severe ptosis, no systemic or ocular abnormality was noted. To the best of our knowledge, this might be the second case of isolated levator myositis without associated ocular or systemic disease in the world. Although such a case was so rare, it should be included in the differential diagnosis of patients with a levator mass.

並列關鍵字

Levator muscle ； Orbital myositis ； Levator myositis ； Pseudotumor ； Lymphoid tumor ； Ptosis