RESUMO
OBJETIVO/MÉTODO: Generalmente la primera manifestación de la sarcoidosis es a nivel pulmonar, por lo que se presenta el caso de una mujer de 40 años de edad, quien presenta como primera expresión de la enfermedad aumento de volumen de la glándula lagrimal y ptosis mecánica del párpado superior izquierdo. RESULTADO/CONCLUSIÓN: Después de realizar diversos estudios inmunológicos con resultados negativos, estudios de imagen, toma de biopsia glandular y de ganglios localizados en mediastino se concluye en el diagnóstico de sarcoidosis sistémica con presentación primaria de la glándula lagrimal y se inicia tratamiento con metotrexate vía oral con respuesta favorable
OBJECTIVE/METHOD: The first manifestation of sarcoidosis is usually at the pulmonary level. The case is described of a 40-year-old female patient, who presented with an increased volume of the lacrimal gland and mechanical ptosis of upper left eyelid as the first expression of this disease. RESULT/CONCLUSION: The diagnosis of systemic sarcoidosis with primary presentation of the lacrimal gland was made after performing several immunological studies with negative results, imaging studies, and taking of glandular and lymph node biopsies. A favourable response was achieved with oral methotrexate treatment
Assuntos
Humanos , Feminino , Adulto , Sarcoidose/diagnóstico por imagem , Aparelho Lacrimal/diagnóstico por imagem , Biópsia , Órbita/diagnóstico por imagem , Aparelho Lacrimal/patologia , Doença Granulomatosa Crônica/complicações , Acuidade Visual , Radiografia Torácica/métodosRESUMO
OBJECTIVE/METHOD: The first manifestation of sarcoidosis is usually at the pulmonary level. The case is described of a 40-year-old female patient, who presented with an increased volume of the lacrimal gland and mechanical ptosis of upper left eyelid as the first expression of this disease. RESULT/CONCLUSION: The diagnosis of systemic sarcoidosis with primary presentation of the lacrimal gland was made after performing several immunological studies with negative results, imaging studies, and taking of glandular and lymph node biopsies. A favourable response was achieved with oral methotrexate treatment.
