Idiopathic sclerosing dacryoadenitis

Samantha D Butterfield; Rona Z Silkiss

doi:10.1186/s12348-023-00365-y

Idiopathic sclerosing dacryoadenitis

J Ophthalmic Inflamm Infect. 2023 Sep 19;13(1):43. doi: 10.1186/s12348-023-00365-y.

Authors

Samantha D Butterfield¹, Rona Z Silkiss^{2

3}

Affiliations

¹ Department of Ophthalmology, California Pacific Medical Center, Suite 250, San Francisco, Van Ness, CA, 94102, USA. sagaserophtho@gmail.com.
² Department of Ophthalmology, California Pacific Medical Center, Suite 250, San Francisco, Van Ness, CA, 94102, USA.
³ Silkiss Eye Surgery, 400 29Th Street, Suite 315, Oakland, CA, 94609, USA.

Abstract

Dacryoadenitis is an inflammation of the lacrimal gland. This condition has an extensive differential diagnosis, requiring a thorough workup to identify the underlying etiology. If no etiology is identified, the condition is termed idiopathic dacryoadenitis. The purpose of this report is to present a case of idiopathic sclerosing dacryoadenitis and review the diagnostic process.We present a case of sclerosing dacryoadenitis non responsive to systemic antibiotics and steroids, improving after surgical debulking/biopsy. Systemic inflammatory and infectious labs were negative. Tissue was negative for SARS-CoV-2 antigen. Histopathologic review of the surgical specimen revealed nonspecific, sclerosing dacryoadenitis, ultimately supporting the diagnosis of idiopathic nonspecific fibrosing dacryoadenitis.This case reviews the presentation, evaluation, and management of a common orbital pathologic condition, with updated recommendations based on the most current literature.

Publication types

Review