Tattoo-associated lacrimal gland enlargement and sarcoidosis

Purpose: To describe a case of tattoo-associated sarcoidosis presenting with cutaneous findings of tattoo granulomas and ophthalmic manifestation of isolated bilateral lacrimal gland enlargement. Observations: A 35-year-old female presented with bilateral upper eyelid swelling for over a year. She r...

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Main Authors: Amritha Devi Kanakamedala, Robi N. Maamari, Steven M. Couch
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S245199362300097X
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author Amritha Devi Kanakamedala
Robi N. Maamari
Steven M. Couch
author_facet Amritha Devi Kanakamedala
Robi N. Maamari
Steven M. Couch
author_sort Amritha Devi Kanakamedala
collection DOAJ
description Purpose: To describe a case of tattoo-associated sarcoidosis presenting with cutaneous findings of tattoo granulomas and ophthalmic manifestation of isolated bilateral lacrimal gland enlargement. Observations: A 35-year-old female presented with bilateral upper eyelid swelling for over a year. She reported no associated episodes of ocular pain or visual decline since onset of eyelid edema. On examination, the lacrimal glands were firm and enlarged bilaterally. Slit-lamp examination demonstrated no evidence of active or prior ocular inflammation. Further systemic examination revealed multiple raised papules within a 4-year-old chest/shoulder tattoo. Histopathology from a lacrimal gland biopsy showed non-caseating granulomas consistent with sarcoidosis. Conclusions and importance: The authors report a rare case of a 35-year-old presenting with isolated dacryoadenitis and tattoo granulomas found to be a tattoo-associated sarcoidosis. Although uveitis is a commonly described ocular manifestation in tattoo-associated sarcoidosis, few reports have described lacrimal gland enlargement as a presenting ophthalmic feature in tattoo-associated sarcoidosis.
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spelling doaj.art-b2c0aac11ff94073b6122c22b4608b2e2023-12-09T06:07:08ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362023-12-0132101889Tattoo-associated lacrimal gland enlargement and sarcoidosisAmritha Devi Kanakamedala0Robi N. Maamari1Steven M. Couch2John F. Hardesty Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, 660 S. Euclid Avenue, Campus Box 8096, St. Louis, MO, 63110, United StatesJohn F. Hardesty Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, 660 S. Euclid Avenue, Campus Box 8096, St. Louis, MO, 63110, United StatesCorresponding author.; John F. Hardesty Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, 660 S. Euclid Avenue, Campus Box 8096, St. Louis, MO, 63110, United StatesPurpose: To describe a case of tattoo-associated sarcoidosis presenting with cutaneous findings of tattoo granulomas and ophthalmic manifestation of isolated bilateral lacrimal gland enlargement. Observations: A 35-year-old female presented with bilateral upper eyelid swelling for over a year. She reported no associated episodes of ocular pain or visual decline since onset of eyelid edema. On examination, the lacrimal glands were firm and enlarged bilaterally. Slit-lamp examination demonstrated no evidence of active or prior ocular inflammation. Further systemic examination revealed multiple raised papules within a 4-year-old chest/shoulder tattoo. Histopathology from a lacrimal gland biopsy showed non-caseating granulomas consistent with sarcoidosis. Conclusions and importance: The authors report a rare case of a 35-year-old presenting with isolated dacryoadenitis and tattoo granulomas found to be a tattoo-associated sarcoidosis. Although uveitis is a commonly described ocular manifestation in tattoo-associated sarcoidosis, few reports have described lacrimal gland enlargement as a presenting ophthalmic feature in tattoo-associated sarcoidosis.http://www.sciencedirect.com/science/article/pii/S245199362300097XTattooSarcoidosisLacrimal gland
spellingShingle Amritha Devi Kanakamedala
Robi N. Maamari
Steven M. Couch
Tattoo-associated lacrimal gland enlargement and sarcoidosis
American Journal of Ophthalmology Case Reports
Tattoo
Sarcoidosis
Lacrimal gland
title Tattoo-associated lacrimal gland enlargement and sarcoidosis
title_full Tattoo-associated lacrimal gland enlargement and sarcoidosis
title_fullStr Tattoo-associated lacrimal gland enlargement and sarcoidosis
title_full_unstemmed Tattoo-associated lacrimal gland enlargement and sarcoidosis
title_short Tattoo-associated lacrimal gland enlargement and sarcoidosis
title_sort tattoo associated lacrimal gland enlargement and sarcoidosis
topic Tattoo
Sarcoidosis
Lacrimal gland
url http://www.sciencedirect.com/science/article/pii/S245199362300097X
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AT robinmaamari tattooassociatedlacrimalglandenlargementandsarcoidosis
AT stevenmcouch tattooassociatedlacrimalglandenlargementandsarcoidosis