Department of Ophthalmology, Oregon Health and Sciences University, Portland, OR, USA.
Ophthalmic Plast Reconstr Surg. 2011 Sep-Oct;27(5):e129-31. doi: 10.1097/IOP.0b013e318201d4fb.
Nasolacrimal tuberculosis is rare. The authors present a young Peruvian-born female with subacute onset of right eye epiphora, isolated right inferior turbinate enlargement, and ipsilateral cervical lymphadenopathy. Turbinate and neck mass incisional biopsies demonstrated histopathological findings consistent with tuberculosis. QuantiFERON-TB Gold-In-Tube testing was positive. Complete resolution of symptoms occurred after dacryocystorhinostomy and 9 months of standard 4-drug antituberculosis therapy. Tuberculosis of the nasolacrimal duct is highly unusual but should be considered in patients with tuberculosis risk factors who present with nasolacrimal obstruction from an inferior turbinate mass.
鼻泪管结核罕见。作者报告了一例年轻的秘鲁出生女性，亚急性起病，右眼溢泪，孤立性右下鼻甲肿大，同侧颈部淋巴结病。鼻甲和颈部肿块切开活检显示符合结核病的组织病理学发现。QuantiFERON-TB Gold-In-Tube 检测呈阳性。鼻泪管造口术和 9 个月标准四联抗结核治疗后症状完全缓解。鼻泪管结核非常罕见，但对于有结核病风险因素且因下鼻甲肿块引起鼻泪管阻塞的患者，应考虑鼻泪管结核。
