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| {{SI}}
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| __NOTOC__ | | __NOTOC__ |
| | {{Dacryoadenitis}} |
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| '''For the WikiPatient page for this topic, click [[Dacryoadenitis (patient information)|here]]''' | | '''For the WikiPatient page for this topic, click [[Dacryoadenitis (patient information)|here]]''' |
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| {{CMG}} | | {{CMG}} |
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| '''''Keywords and Synonyms:''''' Blocked [[tear duct]] | | '''''Keywords and Synonyms:''''' Blocked tear duct |
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| ==Overview== | | ==[[Dacryoadenitis overview|Overview]]== |
| '''Dacryoadenitis''' is [[inflammation]] of the [[lacrimal gland]]s (the tear-producing glands).
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| ==Causes== | | ==[[Dacryoadenitis historical perspective|Historical Perspective]]== |
| ===Acute Causes===
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| *[[Epstein-Barr virus]]
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| *[[Gonococcus]]
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| *[[Mumps]]
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| *[[Staphylococcus]]
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| ===Chronic Causes===
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| Chronic dacryoadenitis is usually due to noninfectious inflammatory disorders.
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| *[[Orbital pseudotumor]]
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| *[[Sarcoidosis]]
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| *Thyroid eye disease
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| ==Differential Diagnosis of Underlying Causes of Dacryoadenitis==
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| Organized by organ system
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| {|style="width:70%; height:100px" border="1"
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| |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
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| |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Chemical / poisoning'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Dermatologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Drug Side Effect'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Ear Nose Throat'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Endocrine'''
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| |bgcolor="Beige"| Thyroid disease
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Environmental'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Gastroenterologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Genetic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Hematologic'''
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| |bgcolor="Beige"| [[Chronic Lymphocytic Leukemia]] ([[CLL]])
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Iatrogenic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Infectious Disease'''
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| |bgcolor="Beige"|
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| : '''Bacterial:''' [[Gonococcus]], [[Myocabacterium]], [[Staphylococcus]],
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| : '''Viral:''' [[Epstein-Barr virus]], [[Influenza]], [[Measles]], [[Mumps]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Musculoskeletal / Ortho'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Neurologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Nutritional / Metabolic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Oncologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Opthalmologic'''
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| |bgcolor="Beige"| [[orbital pseudotumor]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Overdose / Toxicity'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Psychiatric'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Pulmonary'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Renal / Electrolyte'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Rheum / Immune / Allergy'''
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| |bgcolor="Beige"| [[Sarcoid]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Trauma'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Miscellaneous'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |}
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| ==Diagnosis==
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| ===Symptoms ===
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| * Swelling of the outer portion of the upper lid, with possible redness and tenderness
| | ==[[Dacryoadenitis classification|Classification]]== |
| * [[Pain and nociception|Pain]] in the area of swelling
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| * Excess tearing or discharge
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| * Swelling of [[lymph node]]s in front of the [[ear]]
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| ===Physical Examination=== | | ==[[Dacryoadenitis pathophysiology|Pathophysiology]]== |
| Dacryoadenitis can be diagnosed by examination of the [[eye]]s and lids.
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| ===Imaging=== | | ==[[Dacryoadenitis causes|Causes]]== |
| ====CT====
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| Special tests such as a [[CT scan]] may be required to search for the cause.
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| ===Biopsy=== | | ==[[Dacryoadenitis differential diagnosis|Differentiating Dacryoadenitis from other Diseases]]== |
| Sometimes [[biopsy]] will be needed to be sure that a [[tumor]] of the lacrimal gland is not present.
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| ==Treatment== | | ==[[Dacryoadenitis epidemiology and demographics|Epidemiology and Demographics]]== |
| If the cause of dacryoadenitis is a viral condition such as mumps, simple rest and warm compresses may be all that is needed. For other causes, the treatment is specific to the causative disease.
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| ==Prognosis== | | ==[[Dacryoadenitis risk factors|Risk Factors]]== |
| Most patients will fully recover from dacryoadenitis. For conditions with more serious causes, such as sarcoidosis, the [[prognosis]] is that of the underlying condition.
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| ==Complications== | | ==[[Dacryoadenitis natural history, complications and prognosis|Natural History, Complications and Prognosis]]== |
| Swelling may be severe enough to put pressure on the eye and distort [[Visual perception|vision]]. Some patients first thought to have dacryoadenitis may turn out to have a [[malignancy]] of the lacrimal gland.
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| ==Prevention==
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| Mumps can be prevented by [[immunization]]. Gonococcus, the bacteria causing [[gonorrhea]], can be avoided by the use of [[condom]]s. Most other causes cannot be prevented.
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| ==External links==
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| * [http://www.nlm.nih.gov/medlineplus/ency/article/001625.htm Source (NIH/Medline)]
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| | ==Diagnosis== |
| | [[Dacryoadenitis history and symptoms|History and Symptoms]] | [[Dacryoadenitis physical examination|Physical Examination]] | [[Dacryoadenitis laboratory findings|Laboratory Findings]] | [[Dacryoadenitis CT|CT]] | [[Dacryoadenitis other imaging findings|Other Imaging Findings]] | [[Dacryoadenitis other diagnostic studies|Other Diagnostic Studies]] |
| | ==Treatment== |
| | [[Dacryoadenitis medical therapy|Medical Therapy]] | [[Dacryoadenitis surgery|Surgery]] | [[Dacryoadenitis primary prevention|Primary Prevention]] | [[Dacryoadenitis secondary prevention|Secondary Prevention]] | [[Dacryoadenitis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Dacryoadenitis future or investigational therapies|Future or Investigational Therapies]] |
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| | == Case Studies == |
| | [[Dacryoadenitis case study one|Case #1]] |
| {{Eye pathology}} | | {{Eye pathology}} |
| {{WikiDoc Help Menu}} | | {{WikiDoc Help Menu}} |
| {{WikiDoc Sources}} | | {{WikiDoc Sources}} |
| | [[it:Dacriocistite]] |
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| [[category:Primary care]]
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| [[Category:Ophthalmology]] | | [[Category:Ophthalmology]] |
| [[Category:Inflammations]] | | [[Category:Inflammations]] |
| [[Category:Needs causes]]
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| [[it:Dacriocistite]]
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