Unilateral Dacryoadenitis as the Sole Presenting Sign of Wegener's Granulomatosis
ORBIT-AN INTERNATIONAL JOURNAL ON ORBITAL DISORDERS AND FACIAL RECONSTRUCTIVE SURGERY, cilt.27, sa.3, ss.157-160, 2008 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 27 Sayı: 3
- Basım Tarihi: 2008
- Doi Numarası: 10.1080/01676830701523863
- Dergi Adı: ORBIT-AN INTERNATIONAL JOURNAL ON ORBITAL DISORDERS AND FACIAL RECONSTRUCTIVE SURGERY
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
- Sayfa Sayıları: ss.157-160
- Hacettepe Üniversitesi Adresli: Evet
Özet
The purpose of this case report is to present a patient in whom acute unilateral dacryoadenitis was the sole presenting sign of Wegener's granulomatosis. An 80-year-old man presented with swelling of the temporal part of his right upper lid. Imaging studies and an incisional biopsy were done. The patient expired from a massive pulmonary hemorrhage before any diagnosis could be reached. Imaging studies revealed an enlarged lacrimal gland. Initially, a presumptive diagnosis of lacrimal gland lymphoma or an idiopathic inflammation was made. The histopathological examination established the diagnosis of Wegener's granulomatosis. This is an unusual case of Wegener's granulomatosis, with a fulminantly fatal conclusion reminding that this disease must be considered in the differential diagnosis of acute unilateral isolated dacryoadenitis in the elderly, and that a rapid diagnosis is mandatory.