소아에서 급성 눈물샘염으로 발현된 비특이성안와염 1예

• 영문명: Idiopathic Orbital Inflammation Presenting as Unilateral Dacryoadenitis in a Child
• 발행기관: 대한안과학회
• 저자명: 염혜리 강남여,Hae-ri Yum, MD, Nam-Yeo Kang, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number11, 1357~1361쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2011.11.15

영문 초록

Purpose: To report a case of idiopathic orbital inflammation presenting as unilateral acute dacryoadenitis in a child. Case Summary: A nine-year-old boy presented with painful swelling and redness in the right upper eyelid and temporal conjunctiva without systemic symptoms for five days. Acute orbital cellulitis was suspected but did not respond to systemic antibiotics. An orbital computed tomogram and magnetic resonance imaging revealed a diffusely enlarged and inflamed right lacrimal gland. The patient showed dramatic response to systemic corticosteroids, and acute dacryoadenitis due to idiopathic orbital inflammation was diagnosed. Treatment with oral corticosteroids for two months resolved the inflammation. No relapse was observed during four months of follow-up. Conclusions: Although rare, acute dacryoadenitis as a localized nonspecific orbital inflammation should be considered in the differential diagnosis of acute orbital cellulitis in pediatric patients. J Korean Ophthalmol Soc 2011;52(11):1357-1361

키워드

Acute dacryoadenitis, Eyelid swelling, Idiopathic orbital inflammation, Orbital cellulitis