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Sarcoidosis Presenting as Dacryoadenitis
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A6536 - Sarcoidosis Presenting as Dacryoadenitis
Author Block: V. Pathak, J. Wininger; WakeMed Health and Hospitals, Raleigh, NC, United States.
Introduction: Dacryoadenitis, an inflammation of the lacrimal gland, can present as an acute or chronic condition. The chronic presentation is rare and may manifest as a sign of systemic disease. The case below describes a case of bilateral dacryoadenitis with a recent diagnosis of sarcoidosis. Description: A 40-year-old male with recent diagnosis of sarcoidosis confirmed by surgical biopsy presented for evaluation and treatment of his pulmonary sarcoidosis. On exam he was noted to have bilateral medial canthus nodules greater on the right. He experienced constant tearing of his right eye. Recent nasal endoscopy revealed sarcoid involvement of the septum. Prior to his clinic visit pulmonary function tests were performed that showed mild restrictive disease and mildly reduced diffusion capacity. However, he did not report clinical symptoms of shortness of breath or exercise intolerance. His chest CT revealed bilateral mediastinal and hilar lymphadenopathy as well as pulmonary nodules in the lymphatic and subpleural distribution. He was started on a slow steroid taper with subsequent follow-up visits. Discussion: Dacryoadenitis is a rare condition but if noted could be a clue to underlying pathology that may signify sarcoidosis. Once this is picked up on exam, it is imperative to expand the clinical conversation with the patient to not miss out on an important diagnosis.
Author Block: V. Pathak, J. Wininger; WakeMed Health and Hospitals, Raleigh, NC, United States.
Introduction: Dacryoadenitis, an inflammation of the lacrimal gland, can present as an acute or chronic condition. The chronic presentation is rare and may manifest as a sign of systemic disease. The case below describes a case of bilateral dacryoadenitis with a recent diagnosis of sarcoidosis. Description: A 40-year-old male with recent diagnosis of sarcoidosis confirmed by surgical biopsy presented for evaluation and treatment of his pulmonary sarcoidosis. On exam he was noted to have bilateral medial canthus nodules greater on the right. He experienced constant tearing of his right eye. Recent nasal endoscopy revealed sarcoid involvement of the septum. Prior to his clinic visit pulmonary function tests were performed that showed mild restrictive disease and mildly reduced diffusion capacity. However, he did not report clinical symptoms of shortness of breath or exercise intolerance. His chest CT revealed bilateral mediastinal and hilar lymphadenopathy as well as pulmonary nodules in the lymphatic and subpleural distribution. He was started on a slow steroid taper with subsequent follow-up visits. Discussion: Dacryoadenitis is a rare condition but if noted could be a clue to underlying pathology that may signify sarcoidosis. Once this is picked up on exam, it is imperative to expand the clinical conversation with the patient to not miss out on an important diagnosis.
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