Sarcoidosis of the lacrimal sac
G. J. Harris, G. A. Williams and G. P. Clarke
Two women with acute dacryocystitis were found to have noncaseating
granulomatous inflammation of the lacrimal sac and nasal mucosa. One
patient had chronic uveitis and the other had skin lesions and generalized
lymphadenopathy histologically compatible with sarcoidosis. The diagnosis
was supported by elevation of serum levels of angiotensin-converting
enzyme. To our knowledge, these are the sixth and seventh histologically
confirmed cases of sarcoidosis of the lacrimal sac. They differ from
previously reported cases in the absence of classic roentgenographic
changes of sarcoidosis. Analysis of all reported cases suggests an
association between lacrimal sac and upper respiratory tract sarcoidosis.
