Epstein-Barr virus dacryoadenitis

Abstract

Purpose: To describe the clinical features of lacrimal gland inflammation associated with Epstein-Barr virus infection.

Methods: The clinical records, laboratory data, and radiographs of patients who had inflammation of one or both lacrimal glands that had begun less than 4 weeks previously were reviewed.

Results: Sixteen patients with dacryoadenitis were encountered between 1980 and 1996, a cumulative frequency of approximately one case per 10,000 new ophthalmic outpatients. Six individuals had serologic or other evidence of recent Epstein-Barr virus infection and were distinguished by the presence of regional lymphadenopathy, no purulent discharge, and a duration of symptoms of 6 weeks.

Conclusion: Epstein-Barr virus is a probable cause of unilateral and bilateral dacryoadenitis in young adults.