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Pediatric Rheumatology

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Open Access 01-12-2021 | Sarcoidosis | Case Report

Sarcoidosis presenting as bilateral lacrimal gland swelling: a pediatric case report

Authors: Margaret S. Powell, Ashley W. Cross, Jared Tallo, Edward W. Cheeseman, Mileka R. Gilbert

Published in: Pediatric Rheumatology | Issue 1/2021

Abstract

Background

To describe a case of pediatric sarcoidosis which initially presented as papillary conjunctivitis before manifesting as bilateral lacrimal gland swelling without other known systemic involvement.

Case presentation

A 10-year-old female presented to the pediatric ophthalmology clinic with complaints of bilateral eyelid swelling, tearing and itching for approximately 1 month. Her history and exam were most consistent with allergic conjunctivitis, for which she was started on a standard topical regimen. Despite initial improvement, she re-presented with significantly worsened eyelid swelling and minimal allergic symptoms. Enlargement of the lacrimal glands were palpable at this time. Lacrimal gland biopsy was obtained which demonstrated noncaseating granulomas. Systemic workup did not reveal evidence of disease involvement elsewhere.

Conclusions

Sarcoidosis in the pediatric population may present in a myriad of ways and is well-known to mimic other disease entities. We present a case of pediatric sarcoidosis which presented initially as papillary conjunctivitis before manifesting as bilateral lacrimal gland swelling without systemic involvement.

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Title: Sarcoidosis presenting as bilateral lacrimal gland swelling: a pediatric case report
Authors: Margaret S. Powell
Ashley W. Cross
Jared Tallo
Edward W. Cheeseman
Mileka R. Gilbert
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Sarcoidosis
Conjunctivitis
Sarcoidosis
Published in: Pediatric Rheumatology / Issue 1/2021
Electronic ISSN: 1546-0096
DOI: https://doi.org/10.1186/s12969-021-00606-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Sarcoidosis presenting as bilateral lacrimal gland swelling: a pediatric case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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