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A case of acute dacryocystitis in a child with significant response to systemic administration of corticosteroids Daisuke Komiyama 1 , Takahiro Koizumi 1 , Koichi Nishitsuka 1 , Atsushi Yamasaki 1 , Hiroto Obata 1 1Department of Ophthalmology, Saitama Medical Center, Saitama Medical University pp.599-602
Published Date 2024/5/15
DOI https://doi.org/10.11477/mf.1410215171
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Abstract Purpose:We report a case of acute dacryocystitis in a child. This disorder was thought to have been caused by allergic rhinitis, and was significantly improved by systemic administration of antibiotics and corticosteroids.

Case:The patient was a six-year-old boy with swelling in the left lacrimal sac. The day after swelling was observed, he was diagnosed with acute dacryocystitis by a previous doctor. Eye drops, ointments, and oral antibiotics were prescribed, and he was referred to our department on the same day. At the first visit, redness, swelling, and heat sensation was observed in the left lacrimal sac. Hence, we continued the prescription from the previous doctor considering it as acute dacryocystitis. Four days later, the dacryocystitis worsened, and CT showed no air in the left inferior meatus of the nasal cavity and bony nasolacrimal duct. Nasopharyngoscopy performed by an otolaryngologist revealed mucosal swelling in the left inferior meatus. It was thought that allergic rhinitis caused nasal mucosal swelling and closed the nasolacrimal duct opening, resulting in acute dacryocystitis. Systemic administration of antibiotics and corticosteroids was started. Two days later, the patient's symptoms improved immediately, and treatment was completed in 3 days.

Conclusion:In case allergic rhinitis is considered as a cause of acute dacryocystitis in children, systemic administration of corticosteroids may be considered.


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