传染性单核细胞增多症患者的双侧眼睑肿胀(hoagland征)

作     者：Burger J. Thurau S. Haritoglou C. 王静波 

作者机构：Augenklinik der Ludwig-Maximilians-UniversittMathildenstraβ8 80336 MünchenGermany Dr. 

出 版 物：《世界核心医学期刊文摘（眼科学分册）》 (Digest of the World Core Medical Journals:Ophthalmology)

年 卷 期：2006年第2卷第5期

页      面：47-47页

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1011[医学-护理学（可授医学、理学学位）] 100401[医学-流行病与卫生统计学] 10[医学] 

主　　题：传染性单核细胞增多症 女性患者 眼睑肿胀 双侧 超声扫描 “接吻病” 传染性疾病 人疱疹病毒 白细胞增多 IgM阳性 

摘      要：Background: Infectious mononucleosis (“kissing disease) is an infection caused by Ebstein-Barr-Virus (EBV, human herpes virus 4). Methods: We present the case of an 18-year old female patient with dacryoadenitis and subfebrile temperatures followed by a distinct feeling of sickness. Results: Laboratory results revealed a leukocytosis of 16.3 G/l with explicit elevation of hepatic parameters. The ultrasoundscan of the orbital region showed a bilateral, echoreduced, compressable lesion in the area of the lachrymal gland. The abdomen-ultrasoundscan revealed a splenomegaly and the size of the liver was within normal limits. Serology was positive for EBV-VCA-IgG, EBVEA-IgG and EBV-VCA-IgM. Conclusions: A dacyoadenitis can be the presenting symptom of an infectious mononucleosis.