Acute infectious mononucleosis presenting with palpebral and periorbital edema

Submitted: 23 October 2012
Accepted: 23 October 2012
Published: 23 October 2012
Abstract Views: 1395
PDF: 8802
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Introduction
Almost all organs can be involved in the infection by Epstein-Barr virus and consequently, the beginning symptoms of infectious mononucleosis may be different.

Materials and methods
We report a case of infection by Epstein-Barr virus in a 17-year-old girl whose primary manifestation was an initially monolateral and subsequently bilateral dacryoadenitis.

Results
The incidence of acute dacryoadenitis by Epstein-Barr virus is valued around one case per million people per year, but it is probably underestimated: it is due to infiltration of the lacrimal gland by activated lymphocytes.

Discussion
An acute dacryoadenitis, especially when it affects a young adult and when bilateral, should guide the diagnostic and haematochemical and serological investigations towards a systemic disease such as infectious mononucleosis. It is almost always responsive to a systemic corticosteroid therapy, but in some cases it can progress towards a dacryocystitis and exceptionally towards the Sj¶gren syndrome. Appropriate and timely treatment will be able to reduce any subsequent complications.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

How to Cite

Puntorieri, E., Postorino, A., Di Bartolo, C. E., Leonardi, V., Zagari, D., & Mileto, G. (2012). Acute infectious mononucleosis presenting with palpebral and periorbital edema. Italian Journal of Medicine, 6(3), 227–230. https://doi.org/10.4081/itjm.2012.227