Mantle cell lymphoma presenting as Mikulicz syndrome.
A middle-aged woman presented with insidious onset swelling of bilateral lacrimal and parotid glands. Mikulicz syndrome is a symptom complex caused by a variety of systemic disorders like lymphoma, sarcoidosis, amyloidosis, human immunodeficiency virus infection, tuberculosis, etc. Biopsy from her lacrimal glands revealed mantle cell lymphoma. Although involvement of salivary and lacrimal glands as a part of generalized lymphomatous involvement is not uncommon, Mikulicz syndrome as a presenting manifestation of a lymphoma is very rare.
Palaniswamy
Chandrasekar
C
Department of Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA. drpchandrassekar@gmail.com
Selvaraj
Dhana R
DR
Chugh
Tarun
T
Dudha
Majid
M
Kumar
Uma
U
Guleria
Randeep
R
Chopra
Anita
A
Pandey
Bimlesh
B
Kumar
Rajive
R
D000328:Adult; D001706:Biopsy; D005260:Female; D006801:Humans; D007765:Lacrimal Apparatus / Q000473:pathology; D020522:Lymphoma, Mantle-Cell / Q000175:diagnosis* / Q000473:pathology; D008882:Mikulicz' Disease / Q000175:diagnosis* / Q000473:pathology; D010306:Parotid Gland / Q000473:pathology