Aburn N S, Sullivan T J
Department of Surgery, Royal Brisbane Hospital, Herston, Queensland, Australia.
Ophthalmology. 1996 May;103(5):776-8. doi: 10.1016/s0161-6420(96)30617-9.
A case of severe, bilateral, acute dacryoadenitis in a rarely reported association with infectious mononucleosis is described.
A 16-year-old girl had acute, bilateral, lacrimal gland enlargement demonstrated with computed tomographic scanning of the orbits. Clinical findings and laboratory investigations confirmed the diagnosis of infectious mononucleosis. Treatment with systemic steroids was initiated.
There was rapid resolution of the clinical findings with systemic steroids.
Dacryoadenitis is an uncommon presentation of infectious mononucleosis and may overshadow the other manifestations of this disease. The diagnosis of infectious mononucleosis should be considered in patients with acute dacryoadenitis. Systemic steroids play an important role in rapidly resolving the dacryoadenitis.
本文描述了一例严重的双侧急性泪腺炎，这种情况与传染性单核细胞增多症相关，且报道较少。
一名16岁女孩眼眶计算机断层扫描显示双侧泪腺急性肿大。临床症状和实验室检查确诊为传染性单核细胞增多症，遂开始使用全身性类固醇进行治疗。
全身性类固醇治疗后临床症状迅速缓解。
泪腺炎是传染性单核细胞增多症的一种罕见表现，可能掩盖该疾病的其他症状。急性泪腺炎患者应考虑传染性单核细胞增多症的诊断。全身性类固醇在迅速缓解泪腺炎方面发挥着重要作用。
