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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Format: | Article |
Language: | English |
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Elsevier
2023-12-01
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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. |
first_indexed | 2024-03-09T01:34:29Z |
format | Article |
id | doaj.art-b2c0aac11ff94073b6122c22b4608b2e |
institution | Directory Open Access Journal |
issn | 2451-9936 |
language | English |
last_indexed | 2024-03-09T01:34:29Z |
publishDate | 2023-12-01 |
publisher | Elsevier |
record_format | Article |
series | American Journal of Ophthalmology Case Reports |
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 |
work_keys_str_mv | AT amrithadevikanakamedala tattooassociatedlacrimalglandenlargementandsarcoidosis AT robinmaamari tattooassociatedlacrimalglandenlargementandsarcoidosis AT stevenmcouch tattooassociatedlacrimalglandenlargementandsarcoidosis |