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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
Published on: September 20, 2018
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Dacryoadenitis Associated With Juvenile Idiopathic Arthritis
Oluwatobi O Idowu1, Murtaza Saifee, Thomas S Copperman
1Department of Ophthalmology, University of California San Francisco, San Francisco, California, U.S.A.
Ophthalmic Plastic and Reconstructive Surgery
|December 28, 2019
Summary
Juvenile idiopathic arthritis can rarely cause dacryoadenitis, leading to painful eye swelling. Treatment with steroid injection resolved symptoms in a young patient.
Area of Science:
- Ophthalmology
- Rheumatology
- Pediatrics
Background:
- Juvenile idiopathic arthritis (JIA) is a chronic autoimmune disease primarily affecting children.
- While intraocular inflammation is a common ocular manifestation of JIA, other orbital structures can be rarely involved.
Observation:
- A 14-year-old female with a history of JIA presented with a 5-month history of recurrent, painful, left-sided periorbital swelling.
- Magnetic Resonance Imaging (MRI) demonstrated enlargement of the left lacrimal gland with significant inflammatory changes in the surrounding orbital and periorbital soft tissues.
Findings:
- Lacrimal gland biopsy confirmed chronic inflammation.
- The patient received an intralesional steroid injection during the biopsy procedure.
- Following treatment, the patient remained asymptomatic at the 6-month follow-up.
Implications:
- This case highlights a rare presentation of JIA-associated dacryoadenitis.
- Early diagnosis and targeted treatment, such as intralesional steroid injection, can effectively manage this rare complication.
- Ophthalmologists and rheumatologists should consider dacryoadenitis in the differential diagnosis of periorbital swelling in pediatric patients with JIA.
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