Epstein-Barr virus dacryoadenitis resulting in keratoconjunctivitis sicca in a child.

Abstract:

PURPOSE:To describe a case of severe dry eye syndrome in a child. METHODS:Observational case report. The authors describe a 10-year-old male with severe dry eyes who was profoundly disabled by pain and photophobia despite aggressive conventional therapy. Lacrimal gland histology was consistent with the primary Sjögren syndrome, and serologic and immunohistologic evidence supported the hypothesis of Epstein-Barr virus causality. RESULTS:Treatment with systemic acyclovir and cyclosporin A resulted in dramatic and rapid reversal of the profound sicca syndrome and enabled the patient to resume his normal activities. CONCLUSION:Epstein-Barr virus dacryoadenitis should be considered in the differential diagnosis of keratoconjunctivitis sicca in children. Epstein-Barr virus can cause keratoconjunctivitis sicca, which can be treated successfully with acyclovir therapy in addition to suppression of the inflammatory response.

journal_name

Am J Ophthalmol

authors

Merayo-Lloves J,Baltatzis S,Foster CS

doi

10.1016/s0002-9394(01)01182-5

subject

Has Abstract

pub_date

2001-12-01 00:00:00

pages

922-3

issue

6

eissn

0002-9394

issn

1879-1891

pii

S0002939401011825

journal_volume

132

pub_type

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