A Case of Epstein-Barr Virus-Related Dacryoadenitis.

Kim, Sang Myung; Yoon, Jin Sook

doi:2014.55.9.1372

J Korean Ophthalmol Soc > Volume 55(9); 2014 > Article

Case Report

Journal of the Korean Ophthalmological Society 2014;55(9):1372-1375.
DOI: https://doi.org/10.3341/jkos.2014.55.9.1372 Published online September 15, 2014.

A Case of Epstein-Barr Virus-Related Dacryoadenitis.

Sang Myung Kim, Jin Sook Yoon

Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. yoonjs@yuhs.ac

엡스타인-바 바이러스 감염에 의한 급성 눈물샘염 1예

김상명⋅윤진숙

Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea

Abstract

PURPOSE
To report a case of Epstein-Barr virus-related dacryoadenitis. CASE SUMMARY: A 19-year-old female presented with pain, swelling and redness of both upper eyelids. She experienced rhinorrhea, cough and fever for the previous two weeks. Physical exam showed bilateral cervical lymph node enlargement, and orbital computed tomography (CT) revealed diffuse enlargement and inflammation of both lacrimal glands. Serological testing revealed elevated titers for Epstein-Barr virus nuclear antigen immunoglobulin G (IgG) and Epstein-Barr viral capsid antigens IgG and immunoglobulin M (IgM). Based on these results, clinical diagnosis of Epstein-Barr virus-related acute dacryoadenitis was made. The inflammation subsided after conservative management. Relapse was not observed during the three-month follow-up period. CONCLUSIONS: Based on acute bilateral lacrimal gland enlargement, systemic symptoms such as fever, rhinorrhea, cough, lymphadenopathy and serologically-positive results for Epstein-Barr virus, Epstein-Barr virus-related acute dacryoadenitis can be clinically diagnosed and treated with conservative therapy.

Key Words: Acute dacryoadenitis;Epstein-Barr virus;Painful eyelid swelling