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Clinical Challenge
October 29, 2020

Newborn With Unilateral Exophthalmos and Rapidly Growing Parotid Mass

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck Surgery, University of Michigan Medical School, Ann Arbor
JAMA Otolaryngol Head Neck Surg. 2021;147(1):97-98. doi:10.1001/jamaoto.2020.3763

A male newborn was noted to have right eye and right cheek masses at birth. His prenatal course was complicated by maternal drug use, hepatitis C, and lack of routine prenatal care. Intraocular pressure of the right eye was elevated to 31 mm Hg (normal pressure, <20 mm Hg). Parotid ultrasonography demonstrated a lobulated solid vascular mass measuring 2.1 cm. The infant was referred to the ophthalmology and otolaryngology service. At the age of 5 weeks, a swollen right eye with a foggy cornea and conjunctival vascular anomaly were noted. A soft, mobile, right parotid mass had doubled in size.

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