• Klin Monbl Augenheilkd · Dec 2005

    Case Reports

    [Bilateral lid swelling during infectious mononucleosis (Hoagland-sign)].

    • J Burger, S Thurau, and C Haritoglou.
    • Augenklinik der Ludwig-Maximilians-Universität, München. johannes.burger@med.uni-muenchen.de
    • Klin Monbl Augenheilkd. 2005 Dec 1;222(12):1014-6.

    BackgroundInfectious mononucleosis ("kissing disease") is an infection caused by Epstein-Barr-Virus (EBV, human herpes virus 4).MethodsWe present the case of an 18-year old female patient with dacryoadenitis and sub-febrile temperatures followed by a distinct feeling of sickness.ResultsLaboratory results revealed a Leukocytosis of 16.3 G/I with explicit elevation of hepatic parameters. The ultrasound scan of the orbital region showed a bilateral, echo-reduced, compressible lesion in the area of the lachrymal gland. The abdomen-ultrasound scan revealed a splenomegaly and the size of the liver was within normal limits. Serology was positive for EBV-VCA-IgG, EBV-EA-IgG and EBV-VCA-IgM.ConclusionsA dacryoadenitis can be the presenting symptom of an infectious mononucleosis.

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