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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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CASE REPORT
Year : 2011  |  Volume : 18  |  Issue : 4  |  Page : 328-330

Lacrimal glands: Size does matter!


1 Department of Radiology, University of Pennsylvania School of Medicine, Philadelphia, PA, 19104, USA
2 Department of Neuroradiology, National Neuroscience Institute, 308433, Singapore

Correspondence Address:
Suyash Mohan
Assistant Professor Neuroradiology Division, Department of Radiology, University of Pennsylvania, Philadelphia, PA 19104
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.90140

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A 40-year-old woman presented with vague headaches and blurred vision. Contrast-enhanced magnetic resonance imaging of the brain revealed bilaterally symmetrical diffuse enlargement of the lacrimal glands. A fine needle biopsy of the lacrimal gland was consistent with sarcoidosis. Although, isolated lacrimal gland involvement is rare, it may be the initial clinical presentation of sarcoidosis, as seen in this patient. Imaging plays a vital role in these unsuspected cases and careful evaluation of the lacrimal glands with dedicated thin section, fat suppressed, axial and coronal orbital imaging, may help identify a pathological cause and avoid a delay in diagnosis.


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