1. Eyelid Swelling and Proptosis with Systemic Implications
Shaza N. Al-Holou, MD, Victor M. Elner, MD, PhD, Raymond S. Douglas, MD, PhD, Shannon S. Joseph, MD, MSc 
The American Journal of Medicine 
Volume 129, Issue 7, Pages e51-e53 (July 2016)
DOI: /j.amjmed
Copyright © 2016 Elsevier Inc. Terms and Conditions

2. Figure 1
Swelling and erythema of the left upper eyelid. There was also moderate conjunctival injection and mild chemosis. The lacrimal gland was enlarged and palpable.
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3. Figure 2
Orbital computed tomography (CT) scan with contrast (left top and left bottom) reveals left orbital soft tissue swelling most pronounced in the superior and lateral aspect of the lacrimal gland with increased contrast enhancement. Neck CT (right) demonstrates numerous mildly enhancing lymph nodes in neck and parotid gland.
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4. Figure 3
Histopathology of left lacrimal gland biopsy. Photomicrograph of lacrimal gland biopsy shows chronic dacryoadenitis, a lymphoepithelial lesion, and infiltration of ductal epithelium by lymphocytes. H&E stain, 200× magnification.
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5. Figure 4
Histopathology of salivary gland biopsy. The salivary gland biopsy shows lymphocytic infiltrates surrounding ductal epithelium and acini with focus score of 2. H&E stain, 200× magnification.
The American Journal of Medicine  , e51-e53DOI: ( /j.amjmed )
Copyright © 2016 Elsevier Inc. Terms and Conditions