Case presentation A 25-year-old woman presented with the chief complaint of eyelid swelling, redness, and retrobulbar pain four months after delivery ( Figure 1 ). Medical history Past 10 years: Bronchial asthma and recurrent skin rashes of unknown etiology Five years ago: Dacryoadenitis was diagnosed via MRI scan ( Figure 2a ); symptoms resolved within a few days after using a steroid containing eye drops.
Four months ago: The first appearance of symptoms; considered as a pregnancy phenomenon and left untreated Three months ago: Diplopia and a palpable nodule on the left side of the face Medical examination Examination on arrival: Markedly swollen lower and upper eyelids; swollen right lacrimal gland; no signs of hyperthyroidism; normal-sized thyroid gland without nodules Ultrasound: The palpable facial nodule was identified as a swollen limb of the left parotid gland; thyroid gland…
