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Case of lacrimal gland inflammation associated with ulcerative colitis

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Abstract

We report a case of lacrimal gland pseudotumor as the presenting sign of ulcerative colitis. A 25-year-old woman presented with a right upper eyelid swelling and pain. Intravenous administration of prednisolone was initiated on suspicion of lacrimal gland inflammation (pseudotumor). Although the treatment markedly reduced her ocular symptoms, she developed lower abdominal cramping and diarrhea with the 5 mg/day of oral prednisolone. Sigmoid colonoscopy and colon biopsy led to make a diagnosis of ulcerative colitis. Ulcerative colitis improved significantly with increased dose of steroid and additive mesalazine therapy. Ulcerative colitis should be included in the differential diagnosis of lacrimal gland pseudotumor.

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Authors and Affiliations

  1. Department of Ophthalmology, JA Gifu Koseren, Chuno General Hospital, Gifu, Japan

    Kiyofumi Mochizuki

  2. Department of Ophthalmology, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu-shi, 501-1194, Japan

    Akira Sawada

  3. Department of Internal Medicine, JA Gifu Koseren, Chuno General Hospital, Gifu, Japan

    Naoki Katsumura

Authors
  1. Kiyofumi Mochizuki
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  2. Akira Sawada
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  3. Naoki Katsumura
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Corresponding author

Correspondence to Akira Sawada.

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The authors have no proprietary or financial interest in any products used in this study.

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Mochizuki, K., Sawada, A. & Katsumura, N. Case of lacrimal gland inflammation associated with ulcerative colitis. Int Ophthalmol 30, 109–111 (2010). https://doi.org/10.1007/s10792-009-9296-9

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  • DOI: https://doi.org/10.1007/s10792-009-9296-9

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