Document Detail

Extrapulmonary sarcoidosis: unusual cause of epiphora.
MedLine Citation:
PMID:  17538739     Owner:  NLM     Status:  MEDLINE    
Sarcoidosis is a multisystemic granulomatous disease of unknown aetiology mainly affecting African-Americans, Scandinavians, and the Irish. However, individuals of other races and ethnicities are still not immune. The clinical presentations vary widely with most patients having some respiratory problems. Though extrapulmonary sarcoidosis is no longer rare, sarcoidosis involving the lacrimal sac is an infrequently-reported problem. We present a case of sarcoidosis involving the lacrimal sac in a 42-year-old Malay woman who presented with epiphora. She was successfully treated with steroids and dacryocystorhinostomy. There was no evidence of systemic involvement. It is suggested that in an unusual presentation of sarcoidosis, a thorough search should be made for localisation of other sites, lungs in particular, even in the absence of respiratory complaints.
N Ramlee; N Ramli; A T Liza-Sharmini
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  48     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-05-31     Completed Date:  2007-06-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  e168-70     Citation Subset:  IM    
Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
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MeSH Terms
Anti-Inflammatory Agents / therapeutic use
Granuloma / etiology,  pathology
Lacrimal Apparatus Diseases / etiology*,  pathology
Prednisolone / therapeutic use
Sarcoidosis / complications*,  drug therapy,  pathology,  surgery
Reg. No./Substance:
0/Anti-Inflammatory Agents; 50-24-8/Prednisolone

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