Eyelid Edema May Be as a Sign of Dacryoadenitis in the Course of Epstein-Barr Virus Infectious Mononucleosis.

Marco Capelli
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Abstract

Epstein-Barr virus (EBV) is a widespread virus that causes frequent, in many cases asymptomatic, infections. Mononucleosis is the most frequent clinical syndrome encountered during EBV infection. In rare cases, the disease can present at the onset with atypical signs that make an immediate diagnostic classification difficult. An example in this sense is the onset of dacryoadenitis with consequent eyelid edema. In these cases, it is difficult to immediately recognize this sign as referable to mononucleosis and it appears necessary to carry out a series of analyses aimed at excluding any other edematous causes. We describe below a clinical case of dacryoadenitis in the course of infectious mononucleosis and a review of similar cases described in the literature starting from 1952 (the year in which this sign was described for the first time). We counted 28 cases before ours, thus confirming the exceptional nature of this event.

Abstract Image

眼睑水肿可能是eb病毒感染性单核细胞增多症过程中泪腺炎的征兆。
爱泼斯坦-巴尔病毒(EBV)是一种广泛传播的病毒,经常引起感染,在许多情况下无症状。单核细胞增多症是EBV感染期间最常见的临床综合征。在极少数情况下,该病可在发病时出现非典型体征,使立即诊断分类困难。在这个意义上的一个例子是泪腺炎的发作,随之而来的眼睑水肿。在这些病例中,很难立即认识到这一迹象与单核细胞增多症有关,似乎有必要进行一系列分析,以排除任何其他水肿原因。下面我们描述一例感染性单核细胞增多症过程中泪腺炎的临床病例,并回顾自1952年以来文献中描述的类似病例(该体征首次被描述的那一年)。我们在此之前统计了28例病例,从而确认了该事件的特殊性质。
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