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Dacryocystitis in a patient with Samter's triad
Ahmad Abdel-Aty1, Andrew Jin1, R Peter Manes2
1Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut, USA.
Oman Journal of Ophthalmology
|August 8, 2022
Summary
Samter's triad, or aspirin-exacerbated respiratory disease, can cause inflammatory nasolacrimal duct obstruction. This case highlights the link between this condition and recurrent dacryocystitis.
Area of Science:
- Otolaryngology
- Ophthalmology
- Immunology
Background:
- Samter's triad, characterized by asthma, nasal polyposis, and aspirin intolerance, is an immune-mediated condition.
- Recurrent dacryocystitis involves inflammation of the lacrimal sac, potentially leading to nasolacrimal duct obstruction.
Observation:
- A 36-year-old woman with Samter's triad presented with recurrent dacryocystitis.
- Surgical pathology of the lacrimal sac revealed respiratory fibrosis with chronic inflammation and eosinophils.
Findings:
- The pathological findings in the lacrimal sac are consistent with respiratory-type inflammation seen in Samter's triad.
- This suggests a potential link between Samter's triad and inflammatory nasolacrimal duct obstruction.
Implications:
- Samter's triad should be considered in patients with recurrent dacryocystitis and respiratory symptoms.
- Understanding this association may improve diagnosis and management of nasolacrimal duct obstruction in affected individuals.
Keywords:
Aspirin sensitivitySamter's triadaspirin-exacerbated respiratory diseaseasthmadacryocystitiseosinophilic inflammationnasal polyposisnasolacrimal duct obstructionMore Related Videos
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