Sarcoidosis presenting as bilateral lacrimal gland swelling: a pediatric case report
Autor: | Edward W. Cheeseman, Ashley W. Cross, Mileka Gilbert, Jared Tallo, Margaret S. Powell |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Sarcoidosis Lacrimal gland Case Report Pediatric sarcoidosis Diseases of the musculoskeletal system Pediatrics RJ1-570 Rheumatology Internal medicine medicine Immunology and Allergy Edema Humans Granulomatous inflammation Child Lacrimal Apparatus Diseases business.industry LACRIMAL GLAND SWELLING medicine.disease Dermatology Allergic conjunctivitis medicine.anatomical_structure RC925-935 Pediatrics Perinatology and Child Health Itching Pediatric ophthalmology Female medicine.symptom business Pediatric population |
Zdroj: | Pediatric Rheumatology Online Journal Pediatric Rheumatology Online Journal, Vol 19, Iss 1, Pp 1-6 (2021) |
ISSN: | 1546-0096 |
Popis: | Background To describe a case of pediatric sarcoidosis which initially presented as papillary conjunctivitis before manifesting as bilateral lacrimal gland swelling without other known systemic involvement. Case presentation A 10-year-old female presented to the pediatric ophthalmology clinic with complaints of bilateral eyelid swelling, tearing and itching for approximately 1 month. Her history and exam were most consistent with allergic conjunctivitis, for which she was started on a standard topical regimen. Despite initial improvement, she re-presented with significantly worsened eyelid swelling and minimal allergic symptoms. Enlargement of the lacrimal glands were palpable at this time. Lacrimal gland biopsy was obtained which demonstrated noncaseating granulomas. Systemic workup did not reveal evidence of disease involvement elsewhere. Conclusions Sarcoidosis in the pediatric population may present in a myriad of ways and is well-known to mimic other disease entities. We present a case of pediatric sarcoidosis which presented initially as papillary conjunctivitis before manifesting as bilateral lacrimal gland swelling without systemic involvement. |
Databáze: | OpenAIRE |
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