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A huge lacrimal gland ductule dacryolith with a hairy nucleus: a case report

BACKGROUND: Dacryoliths in lacrimal gland ductule are a rare condition and an unusual cause of conjunctivitis. Here we report a case with a large lacrimal gland ductule stone with an unique hairy nucleus. CASE PRESENTATION: A 38-year-old female presented with a red left eye for one month. Physical e...

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Autores principales: Zhao, Jiao, Xu, Zhike, Han, Aijun, Zeng, Li, Hao, Gengsheng, Chen, Bin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134773/
https://www.ncbi.nlm.nih.gov/pubmed/30208903
http://dx.doi.org/10.1186/s12886-018-0915-y
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author Zhao, Jiao
Xu, Zhike
Han, Aijun
Zeng, Li
Hao, Gengsheng
Chen, Bin
author_facet Zhao, Jiao
Xu, Zhike
Han, Aijun
Zeng, Li
Hao, Gengsheng
Chen, Bin
author_sort Zhao, Jiao
collection PubMed
description BACKGROUND: Dacryoliths in lacrimal gland ductule are a rare condition and an unusual cause of conjunctivitis. Here we report a case with a large lacrimal gland ductule stone with an unique hairy nucleus. CASE PRESENTATION: A 38-year-old female presented with a red left eye for one month. Physical examination revealed an inflammatory granuloma in the lateral canthus and a fistula with purulent secretion. Antibiotics did not ameliorate the symptoms. After we incised the fistula, a huge dacryolith (10 mm × 5 mm × 3 mm) was identified at the end of the dilated lacrimal gland ductule and was removed surgically. Histopathologic examination showed a hairy nucleus surrounded by lamellar structure. The symptoms were resolved in 2 weeks after dacryolith extraction. The formation of the hair-centered dacryolith might be associated with the patient’s personal history of being a rabbit raiser for years. CONCLUSION: We should be aware of lacrimal gland ductule dacryolith as a rare cause of conjunctivitis. The relationship between dacryolithiasis and fur-bearing animal raising warrants further investigation.
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spelling pubmed-61347732018-09-15 A huge lacrimal gland ductule dacryolith with a hairy nucleus: a case report Zhao, Jiao Xu, Zhike Han, Aijun Zeng, Li Hao, Gengsheng Chen, Bin BMC Ophthalmol Case Report BACKGROUND: Dacryoliths in lacrimal gland ductule are a rare condition and an unusual cause of conjunctivitis. Here we report a case with a large lacrimal gland ductule stone with an unique hairy nucleus. CASE PRESENTATION: A 38-year-old female presented with a red left eye for one month. Physical examination revealed an inflammatory granuloma in the lateral canthus and a fistula with purulent secretion. Antibiotics did not ameliorate the symptoms. After we incised the fistula, a huge dacryolith (10 mm × 5 mm × 3 mm) was identified at the end of the dilated lacrimal gland ductule and was removed surgically. Histopathologic examination showed a hairy nucleus surrounded by lamellar structure. The symptoms were resolved in 2 weeks after dacryolith extraction. The formation of the hair-centered dacryolith might be associated with the patient’s personal history of being a rabbit raiser for years. CONCLUSION: We should be aware of lacrimal gland ductule dacryolith as a rare cause of conjunctivitis. The relationship between dacryolithiasis and fur-bearing animal raising warrants further investigation. BioMed Central 2018-09-12 /pmc/articles/PMC6134773/ /pubmed/30208903 http://dx.doi.org/10.1186/s12886-018-0915-y Text en © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Zhao, Jiao
Xu, Zhike
Han, Aijun
Zeng, Li
Hao, Gengsheng
Chen, Bin
A huge lacrimal gland ductule dacryolith with a hairy nucleus: a case report
title A huge lacrimal gland ductule dacryolith with a hairy nucleus: a case report
title_full A huge lacrimal gland ductule dacryolith with a hairy nucleus: a case report
title_fullStr A huge lacrimal gland ductule dacryolith with a hairy nucleus: a case report
title_full_unstemmed A huge lacrimal gland ductule dacryolith with a hairy nucleus: a case report
title_short A huge lacrimal gland ductule dacryolith with a hairy nucleus: a case report
title_sort huge lacrimal gland ductule dacryolith with a hairy nucleus: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134773/
https://www.ncbi.nlm.nih.gov/pubmed/30208903
http://dx.doi.org/10.1186/s12886-018-0915-y
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