[Waldenstrom's macroglobulinaemia of the lacrimal gland in a patient with sarcoidosis].
We report a case of bilateral lacrimal gland involvement as the first sign of Waldenstrom's macroglobulinaemia in a patient with sarcoidosis. Histological analysis of an incisional biopsy revealed a lymphoplasmocytic lymphoma consistent with Waldenstrom's macroglobulinaemia. No noncaseating granulomas were encountered. Systemic treatment was initiated and resulted in complete resolution of the lesions. In a patient with a systemic disease, such as sarcoidosis, and lacrimal gland involvement, a biopsy of the lacrimal gland mass should be taken to make a correct diagnosis and start appropriate treatment.
Hafezi
F
F
IROC, Institut für Refraktive und Ophthalmo-Chirurgie, Zürich, Schweiz.
Moesen
I
I
Carels
G
G
Mooy
C
C
Paridaens
D
D
D005260:Female; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D008875:Middle Aged; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D008258:Waldenstrom Macroglobulinemia / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*