Abstract
PURPOSE: To report a patient with bilateral lacrimal gland enlargement as the initial manifestation of Rosai–Dorfman disease. METHODS: Case report. RESULTS: A 14-year-old female presented with left lacrimal gland enlargement followed by right lacrimal gland enlargement 11 weeks later. Bilateral lacrimal gland biopsies were performed, and histopathologic examination revealed the diagnosis of Rosai–Dorfman disease. CONCLUSION: Patients with Rosai–Dorfman disease may present with bilateral lacrimal gland swelling in the absence of lymphadenopathy. Rosai–Dorfman disease should be considered in the differential diagnosis of bilateral lacrimal gland enlargement.
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