Capelli Marco
Endoscopy and Pathophysiology Upper Airway Unit, "Villa Antonella" Clinic, Viale Buonarroti 68, Codogno (Lo), Italy. Email:
J Med Cases. 2023 Jun;14(6):208-212. doi: 10.14740/jmc4114. Epub 2023 Jun 29.
Epstein-Barr virus (EBV) is a widespread virus that causes frequent, in many cases asymptomatic, infections. Mononucleosis is the most frequent clinical syndrome encountered during EBV infection. In rare cases, the disease can present at the onset with atypical signs that make an immediate diagnostic classification difficult. An example in this sense is the onset of dacryoadenitis with consequent eyelid edema. In these cases, it is difficult to immediately recognize this sign as referable to mononucleosis and it appears necessary to carry out a series of analyses aimed at excluding any other edematous causes. We describe below a clinical case of dacryoadenitis in the course of infectious mononucleosis and a review of similar cases described in the literature starting from 1952 (the year in which this sign was described for the first time). We counted 28 cases before ours, thus confirming the exceptional nature of this event.
爱泼斯坦-巴尔病毒（EBV）是一种广泛传播的病毒，常引发感染，许多情况下并无症状。传染性单核细胞增多症是EBV感染最常见的临床综合征。在罕见情况下，疾病起病时可能出现非典型症状，难以立即进行诊断分类。泪腺炎伴眼睑水肿起病就是这样一个例子。在这些病例中，很难立即将此症状认定为与传染性单核细胞增多症相关，似乎有必要进行一系列分析以排除任何其他导致水肿的原因。我们在下文描述了一例传染性单核细胞增多症病程中出现泪腺炎的临床病例，并回顾了自1952年（此症状首次被描述的年份）以来文献中描述过的类似病例。在我们之前统计到28例病例，从而证实了这一事件的特殊性。
