Differences
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| Both sides previous revision Previous revision Next revision | Previous revision | ||
| dacryoadenitis [2024/07/12 17:38] – Scott Larson | dacryoadenitis [2025/04/18 20:40] (current) – external edit 127.0.0.1 | ||
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| Line 30: | Line 30: | ||
| * Pleomorphic adenoma | * Pleomorphic adenoma | ||
| - | ===== Signs and Symptoms ===== | + | ===== Symptoms |
| * Symptoms | * Symptoms | ||
| * Pain in the superior lateral orbit with touch or eye movements | * Pain in the superior lateral orbit with touch or eye movements | ||
| Line 63: | Line 63: | ||
| * Thyroid autoimmune antibodies | * Thyroid autoimmune antibodies | ||
| * Biopsy | * Biopsy | ||
| - | * transeptal or trans-conjunctival biopsy of lacrimal gland in severe, persistent or recurrent | + | * transeptal or trans-conjunctival biopsy of lacrimal gland in severe, persistent |
| ===== Treatment ===== | ===== Treatment ===== | ||
| * Surgery for abscess or mass | * Surgery for abscess or mass | ||
| * Antibiotic for bacterial infection | * Antibiotic for bacterial infection | ||
| - | * Broad spectrum | + | * Consider first |
| + | * Augmentin | ||
| + | * Cephalexin | ||
| + | * If not responsive consider covering for methicillin-resistant Staphylococcus aureus | ||
| + | * Ciprofloxicin or other fluroquinolone | ||
| + | * Trimethoprim-Sulfamethoxazole | ||
| + | * Clindamycin | ||
| + | * Vancomycin | ||
| * Oral Corticosteroids for idiopathic cases | * Oral Corticosteroids for idiopathic cases | ||
| * Methotrexate or rituximab for refractory cases | * Methotrexate or rituximab for refractory cases | ||