DR. DEENA BABU

MRS.YAMINI PRIYA VEMULA RAMANA, DR. RINCY DEVARAJ

Abstract

A Case series of 3 patients who presented with painless bilateral lacrimal gland enlargement .

1st patient (40y/F)had unilateral painless lacrimal gland swelling and subsequently developed similar swelling in the other lacrimal gland.She underwent right lacrimal gland incision biopsy and biopsy showed IgG-180-200% plasma cells/HPF and IgG4 -70% plasma cells/HPF and Serum IgG4 was 1521mg/dl.

Second patient (25 /F )presented with painless bilateral lacrimal gland enlargement .Her serum IgG levels were found to be high and was advised lacrimal gland biopsy.

Third patient ( 28/F)presented with bilateral lacrimal gland enlargement which was initially painless and was managed with oral steroids for an year and later underwent a lacrimal gland biopsy which showed non-specific inflammation. Later the patient developed pain in the right peri-orbital area and serum IgG4 was found to be normal . A provisional diagnosis of NSOID was made and started on Methotrexate and oral steroids .