We report a case of bilateral lacrimal gland involvement as the first sign of Waldenstrom's macroglobulinaemia in a patient with sarcoidosis. Histological analysis of an incisional biopsy revealed a lymphoplasmocytic lymphoma consistent with Waldenstrom's macroglobulinaemia. No noncaseating granulomas were encountered. Systemic treatment was initiated and resulted in complete resolution of the lesions. In a patient with a systemic disease, such as sarcoidosis, and lacrimal gland involvement, a biopsy of the lacrimal gland mass should be taken to make a correct diagnosis and start appropriate treatment.

Additional Metadata
Keywords Lacrimal gland, Sarcoidosis, Waldenstrom's macroglobulinaemia
Persistent URL dx.doi.org/10.1007/s00347-009-2010-5, hdl.handle.net/1765/28140
Citation
Hafezi, F, Moesen, I, Carels, G, Mooy, C.M, & Paridaens, D. (2010). Waldenstrom's macroglobulinaemia of the lacrimal gland in a patient with sarcoidosis. Der Ophthalmologe, 107(1), 60–63. doi:10.1007/s00347-009-2010-5