Skip to main content
Log in

Lacrimal gland enlargement as one of the ocular manifestations of Wegener's granulomatosis

  • Published:
Documenta Ophthalmologica Aims and scope Submit manuscript

Abstract

Wegener's granulomatosis is characterized by chronic, focal, necrotizing and granulomatous vasculitis. The localized form involves mainly the upper or lower respiratory tracts, or both. In the commoner generalized form, the kidneys are also affected. Literature findings suggest that ocular manifestations are a predominating sign in about 30% of cases. Ocular findings may include conjunctivitis, keratitis and sclerouveitis, pseudotumor of the orbit or proptosis. We report on a patient who showed bilateral episcleritis, keratitis, nasolacrimal duct obstruction and enlargement of the lacrimal gland. The latter finding was confirmed by CT scan.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Carrington CB and Liebow AA (1966) Limited forms of angiitis and granulomatosis of Wegener's type. Amer J Med 41:491–527

    Google Scholar 

  • Duncker G, Beigel A and Lehmann H (1982) Wegenersche Granulomatose: okuläre Manifestationen, Diagnose und Therapie. Klin Mbl Augenheilk 181:184–187

    Google Scholar 

  • Fauci AS and Wolff SM (1973) Wegener's granulomatosis: studies in eighteen patients and a review of the literature. Medicine (Baltimore) 52:535–561

    Google Scholar 

  • Fauci AS, Haynes BF, Katz P and Wolff SM (1983) Wegener's granulomatosis: prospective clinical and therapeutic experience with 85 patients for 21 years. Ann Int Med 98:76–85

    Google Scholar 

  • Haynes BF, Fishman ML, Fauci AS and Wolff SM (1977) The ocular manifestations of Wegener's granulomatosis. Fifteen years experience and review of the literature. Amer J Med 83:131–141

    Google Scholar 

  • Israel HL and Patchefsky AS (1971) Wegener's granulomatosis of lung: diagnosis and treatment. Ann Int Med 74:881–891

    Google Scholar 

  • Israel HL, Patchefsky AS and Saldana MJ (1977) Wegener's granulomatosis. Lymphomatoid granulomatosis and benign lymphocytic angiitis and granulomatosis of lung. Recognition and treatment. Ann Int Med 87:691–699

    Google Scholar 

  • Klinger H (1931) Grenzformen der Periarteritis Nodosa. Frankfurt Z Path 42:455–480

    Google Scholar 

  • Straatsma BR (1957) Ocular manifestations of Wegener's granulomatosis. Amer J Opthal 44:789–799

    Google Scholar 

  • Wegener F (1939) Ueber eine eigenartige rhinogene Granulomatose mit besonderer Beteiligung des Arteriensystem und Nieren. Beitr Path Anat 102:36–68

    Google Scholar 

  • Wolff SM, Fauci AS, Horn RG and Dale DC (1974) Wegener's granulomatosis. Ann Int Med 81:513–525

    Google Scholar 

  • Woude FJV van der, Arisz L, Meijer S, Donker AJM, Hoedemaeker PhJ and van Overbeek JJM (1978) Wegener's granulomatosis, a clinicopathological study in twelve patients. Neth J Med 21:205–220

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Boukes, R.J., De Vries-Knoppert, W.A.E.J. Lacrimal gland enlargement as one of the ocular manifestations of Wegener's granulomatosis. Doc Ophthalmol 59, 21–26 (1985). https://doi.org/10.1007/BF00162005

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00162005

Key words

Navigation