Kanakamedala Amritha Devi, Maamari Robi N, Couch Steven M
John F. Hardesty Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, 660 S. Euclid Avenue, Campus Box 8096, St. Louis, MO, 63110, United States.
Am J Ophthalmol Case Rep. 2023 Jul 13;32:101889. doi: 10.1016/j.ajoc.2023.101889. eCollection 2023 Dec.
To describe a case of tattoo-associated sarcoidosis presenting with cutaneous findings of tattoo granulomas and ophthalmic manifestation of isolated bilateral lacrimal gland enlargement.
A 35-year-old female presented with bilateral upper eyelid swelling for over a year. She reported no associated episodes of ocular pain or visual decline since onset of eyelid edema. On examination, the lacrimal glands were firm and enlarged bilaterally. Slit-lamp examination demonstrated no evidence of active or prior ocular inflammation. Further systemic examination revealed multiple raised papules within a 4-year-old chest/shoulder tattoo. Histopathology from a lacrimal gland biopsy showed non-caseating granulomas consistent with sarcoidosis.
The authors report a rare case of a 35-year-old presenting with isolated dacryoadenitis and tattoo granulomas found to be a tattoo-associated sarcoidosis. Although uveitis is a commonly described ocular manifestation in tattoo-associated sarcoidosis, few reports have described lacrimal gland enlargement as a presenting ophthalmic feature in tattoo-associated sarcoidosis.
描述一例纹身相关结节病病例，其表现为纹身肉芽肿的皮肤表现以及孤立性双侧泪腺肿大的眼部表现。
一名35岁女性出现双侧上睑肿胀超过一年。她报告自眼睑水肿发作以来无相关眼痛或视力下降发作。检查时，双侧泪腺质地坚硬且肿大。裂隙灯检查未发现活动性或既往眼部炎症的证据。进一步的全身检查发现一个4年的胸部/肩部纹身内有多个凸起丘疹。泪腺活检的组织病理学显示与结节病一致的非干酪样肉芽肿。
作者报告了一例罕见的35岁病例，其表现为孤立性泪腺炎和纹身肉芽肿，被发现为纹身相关结节病。虽然葡萄膜炎是纹身相关结节病中常见描述的眼部表现，但很少有报告将泪腺肿大描述为纹身相关结节病的主要眼部特征。
