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Unilateral lacrimal gland atrophy in a patient with hereditary angioedema
Michael Dollin1, Sathish Srinivasan, Eric Leith
1Faculty of Medicine, University of Toronto, Toronto, Canada.
Purpose:
To report a case of unilateral lacrimal gland atrophy in a patient with hereditary angioedema (HAE).
Methods:
Observational case report with literature review.
Results:
A 32-year-old woman with HAE presented with dryness and irritation of the left eye (OS). Investigations revealed features of unilateral severe dry OS with atrophy of the ipsilateral lacrimal gland confirmed by magnetic resonance imaging (MRI).
Conclusions:
Dry eye should be included in the ocular manifestations of HAE. Recurrent mucosal and soft-tissue inflammation secondary to HAE may lead to lacrimal gland atrophy. MRI is a useful, noninvasive tool in diagnosing lacrimal gland atrophy.
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