Lacrimal gland enlargement as one of the ocular manifestations of Wegener's granulomatosis

Wegener's granulomatosis is characterized by chronic, focal, necrotizing and granulomatous vasculitis. The localized form involves mainly the upper or lower respiratory tracts, or both. In the commoner generalized form, the kidneys are also affected. Literature findings suggest that ocular mani...

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Bibliographic Details
Published inDocumenta ophthalmologica Vol. 59; no. 1; p. 21
Main Authors Boukes, R J, de Vries-Knoppert, W A
Format Journal Article
LanguageEnglish
Published Netherlands 01.01.1985
Subjects
Adult
Granuloma - complications
Granulomatosis with Polyangiitis - complications
Humans
Lacrimal Apparatus Diseases - complications
Lacrimal Apparatus Diseases - diagnostic imaging
Male
Nose Diseases - complications
Paranasal Sinuses
Radiography
Sinusitis - complications
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Summary:Wegener's granulomatosis is characterized by chronic, focal, necrotizing and granulomatous vasculitis. The localized form involves mainly the upper or lower respiratory tracts, or both. In the commoner generalized form, the kidneys are also affected. Literature findings suggest that ocular manifestations are a predominating sign in about 30% of cases. Ocular findings may include conjunctivitis, keratitis and sclerouveitis, pseudotumor of the orbit or proptosis. We report on a patient who showed bilateral episcleritis, keratitis, nasolacrimal duct obstruction and enlargement of the lacrimal gland. The latter finding was confirmed by CT scan.
ISSN:0012-4486
1573-2622
DOI:10.1007/BF00162005