Case of lacrimal gland inflammation associated with ulcerative colitis
Tóm tắt
We report a case of lacrimal gland pseudotumor as the presenting sign of ulcerative colitis. A 25-year-old woman presented with a right upper eyelid swelling and pain. Intravenous administration of prednisolone was initiated on suspicion of lacrimal gland inflammation (pseudotumor). Although the treatment markedly reduced her ocular symptoms, she developed lower abdominal cramping and diarrhea with the 5 mg/day of oral prednisolone. Sigmoid colonoscopy and colon biopsy led to make a diagnosis of ulcerative colitis. Ulcerative colitis improved significantly with increased dose of steroid and additive mesalazine therapy. Ulcerative colitis should be included in the differential diagnosis of lacrimal gland pseudotumor.
Tài liệu tham khảo
Ghanchi FD, Rembacken BJ (2003) Inflammatory bowel disease and the eye. Surv Ophthalmol 48:663–676. doi:10.1016/j.survophthal.2003.08.004
Dutt S, Cartwright MJ, Nelson CC (1992) Acute dacryoadenitis and Crohn’s disease: findings and management. Ophthal Plast Reconstr Surg 8:295–299. doi:10.1097/00002341-199212000-00011
Taylor SR, McCluskey P, Lightman S (2006) The ocular manifestations of inflammatory bowel disease. Curr Opin Ophthalmol 17:538–544. doi:10.1097/ICU.0b013e3280109461
Ellis PP, Gentry JH (1964) Ocular complications of ulcerative colitis. Am J Ophthalmol 58:779–785
Mombaerts I, Goldschmeding R, Schlingemann RO, Koornneef L (1996) What is orbital pseudotumor? Surv Ophthalmol 41:66–78. doi:10.1016/S0039-6257(97)81996-0