[Bilateral lid swelling during infectious mononucleosis (Hoagland-sign)].
BACKGROUND
Infectious mononucleosis ("kissing disease") is an infection caused by Epstein-Barr-Virus (EBV, human herpes virus 4).


METHODS
We present the case of an 18-year old female patient with dacryoadenitis and sub-febrile temperatures followed by a distinct feeling of sickness.


RESULTS
Laboratory results revealed a Leukocytosis of 16.3 G/I with explicit elevation of hepatic parameters. The ultrasound scan of the orbital region showed a bilateral, echo-reduced, compressible lesion in the area of the lachrymal gland. The abdomen-ultrasound scan revealed a splenomegaly and the size of the liver was within normal limits. Serology was positive for EBV-VCA-IgG, EBV-EA-IgG and EBV-VCA-IgM.


CONCLUSIONS
A dacryoadenitis can be the presenting symptom of an infectious mononucleosis.
Burger
J
J
Augenklinik der Ludwig-Maximilians-Universität, München. johannes.burger@med.uni-muenchen.de
Thurau
S
S
Haritoglou
C
C
D000293:Adolescent; D003607:Dacryocystitis / Q000175:diagnosis* / Q000209:etiology*; D005141:Eyelid Diseases / Q000175:diagnosis* / Q000209:etiology*; D005335:Fever of Unknown Origin / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications* / Q000175:diagnosis*