title: A case of lacrimal sarcoidosis following interstitial pneumonia: imaging and management.
abstract: A 60-year-old Japanese man developed a fever and dry cough. Although chest CT showed interstitial pneumonia, the primary disease was not revealed. The interstitial pneumonia was improved by treatment with oral prednisolone following methylprednisolone pulse therapy. After the discontinuation of prednisolone he developed swelling of the eyelids and polyarthralgia. Orbital magnetic resonance imaging showed enlargement of the bilateral lacrimal glands. (67)Gallium scintigraphy showed abnormal uptake of the bilateral lacrimal glands and pulmonary hilum. A lacrimal gland biopsy showed noncaseating granulomatous infiltration with occasional multinucleated giant cells consistent with sarcoidosis. His symptoms improved by treatment with oral prednisolone and triamcinolone injection into the lacrimal glands.
authors.affiliation: Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences.
authors.forename: Shin-ya
authors.initials: SY
authors.lastname: Kawashiri
authors.forename: Hideki
authors.initials: H
authors.lastname: Nakamura
authors.forename: Tomoki
authors.initials: T
authors.lastname: Origuchi
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Aoyagi
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kawakami
mesh_terms: D006801:Humans; D015552:Injections, Intralesional; D007765:Lacrimal Apparatus; D017563:Lung Diseases, Interstitial / Q000150:complications*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000008:administration & dosage; D011877:Radionuclide Imaging; D012507:Sarcoidosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014221:Triamcinolone / Q000008:administration & dosage
chemical_list: D014221:Triamcinolone; D011239:Prednisolone