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Epstein-Barr virus dacryoadenitis
M N Rhem1, K R Wilhelmus, D B Jones
1Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA.
Purpose:
To describe the clinical features of lacrimal gland inflammation associated with Epstein-Barr virus infection.
Methods:
The clinical records, laboratory data, and radiographs of patients who had inflammation of one or both lacrimal glands that had begun less than 4 weeks previously were reviewed.
Results:
Sixteen patients with dacryoadenitis were encountered between 1980 and 1996, a cumulative frequency of approximately one case per 10,000 new ophthalmic outpatients. Six individuals had serologic or other evidence of recent Epstein-Barr virus infection and were distinguished by the presence of regional lymphadenopathy, no purulent discharge, and a duration of symptoms of 6 weeks.
Conclusion:
Epstein-Barr virus is a probable cause of unilateral and bilateral dacryoadenitis in young adults.