Departmental Bulletin Paper Bilateral lacrimal caruncle lesions

Okumura, Yuta  ,  Takai, Yoshiko  ,  Yasuda, Shunsuke  ,  Terasaki, Hiroko

79 ( 1 )  , pp.85 - 90 , 2017-02 , Nagoya University Graduate School of Medicine, School of Medicine
A 65-year-old man was referred to our hospital for the treatment of a lesion on the medial lacrimal canthus of both eyes. He had a history of perinuclear anti-neutrophil cytoplasmic antibodies, i.e., pANCApositive interstitial pneumonia. Orbital magnetic resonance imaging excluded space occupying lesions, and laboratory testing excluded thyroid-related diseases. The masses were excised, and histopathological examinations showed sebaceous gland hyperplasia and inflammatory changes around the gland. In addition, the specimen from the left eye showed a retention cyst possibly caused by an infection. It was also possible that the use of steroid was involved in the development of the lesions. A relationship between the ANCA and the lesions was not completely eliminated.

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