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Lacrimal Glands: Size Does Matter!

机译:泪腺:大小很重要!

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摘要

A 40-year-old woman presented with vague headaches and blurred vision. Contrast-enhanced magnetic resonance imaging of the brain revealed bilaterally symmetrical diffuse enlargement of the lacrimal glands. A fine needle biopsy of the lacrimal gland was consistent with sarcoidosis. Although, isolated lacrimal gland involvement is rare, it may be the initial clinical presentation of sarcoidosis, as seen in this patient. Imaging plays a vital role in these unsuspected cases and careful evaluation of the lacrimal glands with dedicated thin section, fat suppressed, axial and coronal orbital imaging, may help identify a pathological cause and avoid a delay in diagnosis.
机译:一名40岁的妇女表现出模糊的头痛和视力模糊。大脑的对比增强磁共振成像显示泪腺的两侧对称弥漫性扩大。泪腺的细针穿刺活检与结节病一致。尽管很少有孤立的泪腺受累,但这可能是结节病的最初临床表现,如该患者所见。影像学检查在这些未曾预料的病例中起着至关重要的作用,仔细评估泪腺的专用薄片,脂肪抑制,轴向和冠状眼眶影像学检查可能有助于确定病理原因并避免诊断延迟。

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