VL clinical presentation features were quite homogeneous in pediatric patients and did not differ from those previously reported from the mediterranean basin in Italy [ 26] and southern France [ 27], with fever and hepatosplenomegaly being the main presenting complaint.
If the clinical presentation and imaging features are consistent with a diagnosis of intraorbital haemorrhage and the vision is not compromised then a conservative approach can be adopted because in many patients blood resorbs without sequelae.
Upon her initial clinical presentation additional features were noted, including auditory neuropathy, immune deficiency, and left duplicated renal collecting system.
Small-airway diseases in children present a diagnostic challenge because the clinical presentation and the radiographic features are nonspecific (Copley and Bush 2000; Koh and Hansell 2000; Kuhn and Brody 2002).
At present, the most important prognostic features are age at presentation, white blood cell count, cell morphology, immunophenotype, and genotype (DNA ploidy and certain chromosomal abnormalities) (Creutzig et al, 1990; Kersey, 1997; Pui and Evans, 1999).
While its clinical presentation is considered stereotypic, atypical features are often encountered.
Recent data suggest distinct pathogenic pathways for myeloperoxidase (MPO) and proteinase 3 (PR3) ANCA vasculitis, which could result in different modes of presentation and outcome, although overlapping features are not infrequent [ 10].
The clinicoradiologic presentation and their histological and immunohistochemical features are distinctive enough to allow the separation from these entities.
Also, one of the images contained inward and the other one outward motion (presentation of these features was counterbalanced).
Our patient's clinical presentation and imaging features were consistent with a diagnosis of limited subperiostal intraorbital haematoma.
