Agarwal Arjit, Chandak Shruti
Department of Radiodiagnosis, TMMC and RC, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh, India.
Taiwan J Ophthalmol. 2019 Jun 18;10(3):227-230. doi: 10.4103/tjo.tjo_125_18. eCollection 2020 Jul-Sep.
Bilateral lacrimal gland enlargement is uncommon; however, its presence induces brainstorming process and intensive discussion between a clinician and an imaging specialist, leading to exploration of multiple systemic disease patterns such as lymphoproliferative disorders, sarcoidosis, Sjögren's syndrome, and tuberculosis. Thoughtful analysis and diagnostic work-up are required to confirm the diagnosis. Sarcoidosis is a rare systemic disease, with ocular involvement being still rarer. Here, we report a case of a young male presenting with nodular swelling over lateral aspects of both the eyes. The imaging study revealed bilateral lacrimal gland enlargement. Further work-up revealed mediastinal and hilar lymphadenopathy with pulmonary nodules which along with biochemical tests lead to the diagnosis of sarcoidosis. The case highlights the ocular symptoms in sarcoidosis and clinicoradiological approach to bilateral lacrimal gland enlargement.
双侧泪腺肿大并不常见；然而，其出现会引发临床医生和影像专家之间的头脑风暴和深入讨论，从而促使对多种系统性疾病模式进行探索，如淋巴增殖性疾病、结节病、干燥综合征和结核病。需要进行深入分析和诊断检查以确诊。结节病是一种罕见的系统性疾病，眼部受累更为罕见。在此，我们报告一例年轻男性患者，其双眼外侧出现结节状肿胀。影像学检查显示双侧泪腺肿大。进一步检查发现纵隔和肺门淋巴结肿大以及肺部结节，结合生化检查最终诊断为结节病。该病例突出了结节病的眼部症状以及针对双侧泪腺肿大的临床放射学诊断方法。
