Dacryoadenitis: Difference between revisions
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'''''Keywords and Synonyms:''''' Blocked [[tear duct]] | '''''Keywords and Synonyms:''''' Blocked [[tear duct]] | ||
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Chronic dacryoadenitis is usually due to noninfectious inflammatory disorders. Examples include [[sarcoidosis]], thyroid eye disease, and [[orbital pseudotumor]]. | Chronic dacryoadenitis is usually due to noninfectious inflammatory disorders. Examples include [[sarcoidosis]], thyroid eye disease, and [[orbital pseudotumor]]. | ||
==Differential Diagnosis of Underlying Causes of Dacryoadenitis== | ==Differential Diagnosis of Underlying Causes of Dacryoadenitis== | ||
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==Diagnosis== | |||
===Symptoms === | |||
* Swelling of the outer portion of the upper lid, with possible redness and tenderness | |||
* [[Pain and nociception|Pain]] in the area of swelling | |||
* Excess tearing or discharge | |||
* Swelling of [[lymph node]]s in front of the [[ear]] | |||
===Physical Examination=== | |||
Dacryoadenitis can be diagnosed by examination of the [[eye]]s and lids. | |||
===Imaging=== | |||
====CT==== | |||
Special tests such as a [[CT scan]] may be required to search for the cause. | |||
===Biopsy=== | |||
Sometimes [[biopsy]] will be needed to be sure that a [[tumor]] of the lacrimal gland is not present. | |||
==Treatment== | ==Treatment== | ||
If the cause of dacryoadenitis is a viral condition such as mumps, simple rest and warm compresses may be all that is needed. For other causes, the treatment is specific to the causative disease. | If the cause of dacryoadenitis is a viral condition such as mumps, simple rest and warm compresses may be all that is needed. For other causes, the treatment is specific to the causative disease. | ||
==Prognosis== | ==Prognosis== | ||
Most patients will fully recover from dacryoadenitis. For conditions with more serious causes, such as sarcoidosis, the [[prognosis]] is that of the underlying condition. | Most patients will fully recover from dacryoadenitis. For conditions with more serious causes, such as sarcoidosis, the [[prognosis]] is that of the underlying condition. | ||
==Complications== | ==Complications== | ||
Swelling may be severe enough to put pressure on the eye and distort [[Visual perception|vision]]. Some patients first thought to have dacryoadenitis may turn out to have a [[malignancy]] of the lacrimal gland. | Swelling may be severe enough to put pressure on the eye and distort [[Visual perception|vision]]. Some patients first thought to have dacryoadenitis may turn out to have a [[malignancy]] of the lacrimal gland. | ||
==Prevention== | ==Prevention== | ||
Mumps can be prevented by [[immunization]]. Gonococcus, the bacteria causing [[gonorrhea]], can be avoided by the use of [[condom]]s. Most other causes cannot be prevented. | Mumps can be prevented by [[immunization]]. Gonococcus, the bacteria causing [[gonorrhea]], can be avoided by the use of [[condom]]s. Most other causes cannot be prevented. | ||
Revision as of 21:07, 16 September 2011
| Dacryoadenitis | |
| ICD-10 | H04.0 |
|---|---|
| ICD-9 | 375.0 |
| DiseasesDB | 3430 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Please Join in Editing This Page and Apply to be an Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.
Keywords and Synonyms: Blocked tear duct
Overview
Dacryoadenitis is inflammation of the lacrimal glands (the tear-producing glands).
Causes
Acute dacryoadenitis is most commonly due to viral or bacterial infection. Common causes include mumps, Epstein-Barr virus, staphylococcus, and gonococcus.
Chronic dacryoadenitis is usually due to noninfectious inflammatory disorders. Examples include sarcoidosis, thyroid eye disease, and orbital pseudotumor.
Differential Diagnosis of Underlying Causes of Dacryoadenitis
Organized by organ system
| Cardiovascular | No underlying causes |
| Chemical / poisoning | No underlying causes |
| Dermatologic | No underlying causes |
| Drug Side Effect | No underlying causes |
| Ear Nose Throat | No underlying causes |
| Endocrine | Thyroid disease |
| Environmental | No underlying causes |
| Gastroenterologic | No underlying causes |
| Genetic | No underlying causes |
| Hematologic | Chronic Lymphocytic Leukemia (CLL) |
| Iatrogenic | No underlying causes |
| Infectious Disease |
|
| Musculoskeletal / Ortho | No underlying causes |
| Neurologic | No underlying causes |
| Nutritional / Metabolic | No underlying causes |
| Oncologic | No underlying causes |
| Opthalmologic | orbital pseudotumor |
| Overdose / Toxicity | No underlying causes |
| Psychiatric | No underlying causes |
| Pulmonary | No underlying causes |
| Renal / Electrolyte | No underlying causes |
| Rheum / Immune / Allergy | Sarcoid |
| Trauma | No underlying causes |
| Miscellaneous | No underlying causes |
Diagnosis
Symptoms
- Swelling of the outer portion of the upper lid, with possible redness and tenderness
- Pain in the area of swelling
- Excess tearing or discharge
- Swelling of lymph nodes in front of the ear
Physical Examination
Dacryoadenitis can be diagnosed by examination of the eyes and lids.
Imaging
CT
Special tests such as a CT scan may be required to search for the cause.
Biopsy
Sometimes biopsy will be needed to be sure that a tumor of the lacrimal gland is not present.
Treatment
If the cause of dacryoadenitis is a viral condition such as mumps, simple rest and warm compresses may be all that is needed. For other causes, the treatment is specific to the causative disease.
Prognosis
Most patients will fully recover from dacryoadenitis. For conditions with more serious causes, such as sarcoidosis, the prognosis is that of the underlying condition.
Complications
Swelling may be severe enough to put pressure on the eye and distort vision. Some patients first thought to have dacryoadenitis may turn out to have a malignancy of the lacrimal gland.
Prevention
Mumps can be prevented by immunization. Gonococcus, the bacteria causing gonorrhea, can be avoided by the use of condoms. Most other causes cannot be prevented.