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Demonstration of Cutaneous Allodynia in Association with Chronic Pelvic Pain

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Chronic dacryocystitis caused by sarcoidosis.

A F Sáenz González¹, N Busquet I Duran², O Arámbulo²

¹Facultad de Medicina, Universidad de la Sabana, Chía, Colombia.

Archivos De La Sociedad Espanola De Oftalmologia

|December 19, 2018

Summary

Sarcoidosis rarely affects the lacrimal sac. Histological evaluation is crucial for diagnosis, with surgery recommended for biopsy and treatment in patients with a history of sarcoidosis.

Keywords:

Chronic dacryocystitis Dacriocistitis crónica Enfermedad granulomatosa Granulomatous disease Sarcoidosis

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Area of Science:

Ophthalmology
Pathology
Surgical Oncology

Background:

Sarcoidosis is a multisystem inflammatory disease.
Lacrimal sac involvement by sarcoidosis is exceptionally rare.
Chronic dacryocystitis necessitates thorough differential diagnosis.

Observation:

A 44-year-old female with a history of lymph node sarcoidosis presented with chronic right dacryocystitis.
Symptoms had been present for one year.
Lacrimal sac disease requires consideration of underlying systemic conditions.

Findings:

Histological examination is essential to confirm sarcoidosis of the lacrimal sac.
External dacryocystorhinostomy allows for biopsy acquisition.
Diagnosis and incidence of this rare pathology can be established through surgical intervention.

Implications:

Early diagnosis and treatment of lacrimal sac sarcoidosis are vital.
Surgical biopsy aids in confirming the diagnosis and guiding management.
This case highlights the importance of considering sarcoidosis in dacryocystitis patients with a relevant history.