Bilateral lacrimal caruncle lesions

A 65-year-old man was referred to our hospital for the treatment of a lesion on the medial lacrimal canthus of both eyes. He had a history of perinuclear anti-neutrophil cytoplasmic antibodies, i.e., pANCA-positive interstitial pneumonia. Orbital magnetic resonance imaging excluded space occupying l...

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Bibliographic Details
Published in:Nagoya journal of medical science 2017-02, Vol.79 (1), p.85-90
Main Authors: Okumura, Yuta, Takai, Yoshiko, Yasuda, Shunsuke, Terasaki, Hiroko
Format: Article
Language:English
Subjects:
Aged
Antibodies, Antineutrophil Cytoplasmic - immunology
Case Report
Humans
Inflammation - immunology
Inflammation - metabolism
Lacrimal Apparatus Diseases - diagnosis
Lacrimal Apparatus Diseases - immunology
Lacrimal Apparatus Diseases - metabolism
Lung Diseases, Interstitial - diagnosis
Lung Diseases, Interstitial - immunology
Lung Diseases, Interstitial - metabolism
Male
Sebaceous Glands - immunology
Sebaceous Glands - metabolism
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Summary:A 65-year-old man was referred to our hospital for the treatment of a lesion on the medial lacrimal canthus of both eyes. He had a history of perinuclear anti-neutrophil cytoplasmic antibodies, i.e., pANCA-positive interstitial pneumonia. Orbital magnetic resonance imaging excluded space occupying lesions, and laboratory testing excluded thyroid-related diseases. The masses were excised, and histopathological examinations showed sebaceous gland hyperplasia and inflammatory changes around the gland. In addition, the specimen from the left eye showed a retention cyst possibly caused by an infection. It was also possible that the use of steroid was involved in the development of the lesions. A relationship between the ANCA and the lesions was not completely eliminated.
ISSN:0027-7622
2186-3326
DOI:10.18999/nagjms.79.1.85