Hina Kauser, Seema Monga, Taskin Khan, Mehvish Haider
HIMSR, Jamia Hamdard, New Delhi, India.
HIMSR, New Delhi, India.
Saudi J Ophthalmol. 2018 Jul-Sep;32(3):253-256. doi: 10.1016/j.sjopt.2017.12.001. Epub 2017 Dec 24.
We report a case of young adult female with swelling in the superolateral aspect of left orbit for two weeks which was diagnosed as tubercular dacryoadenitis with intracranial extension without any neurological features. Tubercular dacryoadenitis is very rare but still makes an important differential diagnosis of lacrimal gland swellings especially in endemic areas like India. Few cases of tubercular dacryoadenitis have been reported in the past; but not a single case with intracranial extension in young adults with short history and without neurological symptoms. Although radiological investigations are routinely done in orbital lesions, it is advisable do so even in acute cases to look for intracranial extension before the appearance of neurological features. Tubercular dacryoadenitis though rare, should be kept as a differential diagnosis of acute or chronic lacrimal gland swellings in endemic areas.
我们报告一例年轻成年女性，其左眼眶外上侧肿胀两周，被诊断为结核性泪腺炎伴颅内蔓延，但无任何神经症状。结核性泪腺炎非常罕见，但在泪腺肿胀的鉴别诊断中仍很重要，尤其是在印度等流行地区。过去曾有少数结核性泪腺炎病例报道；但在年轻成人中，病程短且无神经症状而伴有颅内蔓延的病例尚无报道。虽然眼眶病变通常会进行影像学检查，但即使在急性病例中，在神经症状出现之前进行检查以寻找颅内蔓延也是可取的。结核性泪腺炎虽然罕见，但在流行地区应作为急慢性泪腺肿胀的鉴别诊断之一。
