Idiopathic Orbital Inflammation Presenting as Unilateral Dacryoadenitis in a Child.

Yum, Hae ri; Kang, Nam Yeo

doi:2011.52.11.1357

J Korean Ophthalmol Soc > Volume 52(11); 2011 > Article

Case Report

Journal of the Korean Ophthalmological Society 2011;52(11):1357-1361.
DOI: https://doi.org/10.3341/jkos.2011.52.11.1357 Published online November 15, 2011.

Idiopathic Orbital Inflammation Presenting as Unilateral Dacryoadenitis in a Child.

Hae ri Yum, Nam Yeo Kang

Department of Ophthalmology, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Bucheon, Korea. nyeokang@catholic.ac.kr

소아에서 급성 눈물샘염으로 발현된 비특이성안와염 1예

염혜리⋅강남여

Department of Ophthalmology, Bucheon St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Bucheon, Korea

Abstract

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.

Key Words: Acute dacryoadenitis;Eyelid swelling;Idiopathic orbital inflammation;Orbital cellulitis