双侧爱泼斯坦-巴尔病毒泪腺炎的不典型表现:皮质类固醇抵抗性眼眶炎症1例报告。

IF 2.9 Q1 OPHTHALMOLOGY

Journal of Ophthalmic Inflammation and Infection Pub Date : 2023-05-12 DOI:10.1186/s12348-023-00349-y

Charissa H Tan, Pamela S Tauchi-Nishi, Adam R Sweeney

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引用次数: 0

摘要

爱泼斯坦-巴尔病毒是泪腺炎的一种已知病因，通常对皮质类固醇治疗敏感。当影响眼眶，特别是泪腺时，eb病毒可引起慢性眼球突出和双侧泪块效应。我们提供一例双侧爱泼斯坦-巴尔病毒相关的泪腺炎，最初对皮质类固醇治疗有耐药性，需要活检并通过泪组织聚合酶链反应确诊。在此，我们讨论与相关的磁共振成像和组织病理学图像的表现，诊断困境，和治疗的一个非典型病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Atypical presentation of bilateral Epstein-Barr virus dacryoadenitis: a case report of corticosteroid resistant orbital inflammation.

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Atypical presentation of bilateral Epstein-Barr virus dacryoadenitis: a case report of corticosteroid resistant orbital inflammation.

Epstein-Barr virus is a known cause of dacryoadenitis that is typically sensitive to corticosteroid treatment. When affecting the orbit, particularly the lacrimal gland, Epstein-Barr virus may cause chronic proptosis and a bilateral lacrimal mass effect. We provide a case of bilateral Epstein-Barr virus associated dacryoadenitis initially resistant to corticosteroid treatment requiring biopsy and confirmation by polymerase chain reaction of lacrimal tissue. Herein, we discuss the presentation with associated magnetic resonance imaging and histopathologic images, diagnostic dilemma, and treatment of an atypical case.

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来源期刊

Journal of Ophthalmic Inflammation and Infection OPHTHALMOLOGY-

CiteScore

3.80

自引率

3.40%

发文量

审稿时长

13 weeks