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Sarcoidosis presenting as bilateral lacrimal gland swelling: a pediatric case report.
Powell, Margaret S; Cross, Ashley W; Tallo, Jared; Cheeseman, Edward W; Gilbert, Mileka R.
Afiliación
  • Powell MS; Department of Ophthalmology & Visual Sciences, University of Wisconsin, Madison, WI, USA. margaret.s.brown@gmail.com.
  • Cross AW; Department of Pathology & Laboratory Medicine, Medical University of South Carolina, Charleston, SC, USA.
  • Tallo J; College of Medicine, Medical University of South Carolina, Charleston, SC, USA.
  • Cheeseman EW; Storm Eye Institute, Department of Ophthalmology, Medical University of South Carolina, Charleston, SC, USA.
  • Gilbert MR; Division of Pediatric Rheumatology, Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.
Pediatr Rheumatol Online J ; 19(1): 117, 2021 Aug 06.
Article en En | MEDLINE | ID: mdl-34362395
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sarcoidosis / Edema / Enfermedades del Aparato Lagrimal Tipo de estudio: Diagnostic_studies Límite: Child / Female / Humans Idioma: En Revista: Pediatr Rheumatol Online J Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sarcoidosis / Edema / Enfermedades del Aparato Lagrimal Tipo de estudio: Diagnostic_studies Límite: Child / Female / Humans Idioma: En Revista: Pediatr Rheumatol Online J Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido