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Arq Bras Oftalmol. 2009 Nov-Dec;72(6):826-8.

[Epstein-Barr virus bilateral dacryoadenitis: case report].

[Article in Portuguese]

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Departamento de Oftalmologia, Santa Casa de Misericórida de São Paulo, São Paulo, SP, Brasil.


The authors present a rare case of acute bilateral dacryoadenitis in association with infectious mononucleosis. A 27 year-old woman had acute bilateral lacrimal gland enlargement with inflammatory signs. The CT scan findings and laboratorial investigations confirmed the diagnosis of infectious mononucleosis. The systemic treatment with intravenous steroids was initiated leading to complete remission of the signs and symptoms.


Dacryoadenitis is an uncommon manifestation of infectious mononucleosis and may minimize other signs of the disease. Mononucleosis has to be considered in acute dacryoadenitis cases. Systemic steroids contribute to the fast regression of inflammatory condition.

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