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.
Department of Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA. drpchandrassekar@gmail.com
Chandrasekar
C
Palaniswamy
Dhana R
DR
Selvaraj
Tarun
T
Chugh
Majid
M
Dudha
Uma
U
Kumar
Randeep
R
Guleria
Anita
A
Chopra
Bimlesh
B
Pandey
Rajive
R
Kumar
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