Unilateral dacryoadenitis as the sole presenting sign of Wegener's granulomatosis.
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.
Ocular Oncology Service, Department of Ophthalmology Hacettepe, University School of Medicine, Ankara, Turkey. hkiratli@hacettepe.edu.tr
Hayyam
H
Kiratli
Mehmet Ali
MA
Sekeroğlu
Figen
F
Soylemezoğlu
D058186:Acute Kidney Injury / Q000175:diagnosis*; D000369:Aged, 80 and over; D001707:Biopsy, Needle; D003607:Dacryocystitis / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D014890:Granulomatosis with Polyangiitis / Q000175:diagnosis / Q000473:pathology*; D006469:Hemoptysis / Q000175:diagnosis*; D006801:Humans; D007150:Immunohistochemistry; D008279:Magnetic Resonance Imaging; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis; D012720:Severity of Illness Index