HEERFORDT-WALDENSTROM SYNDROME UVEOPAROTID FEVER: REVIEW OF THE LITERATURE AND A CASE PRESENTATION

Heerfordt-Waldenstrom Syndrome

Abstract

Heerfordt-Waldenström syndrome is also referred to as uveoparotid fever. In our patient physical examination showed bilateral parotid gland enlargement. Chest X-ray showed bilateral hilar lymph adenopathy. Biopsy specimen from the right parotid gland revealed scattered granulomas with focal central necrosis. Stains for acid-fast bacilli and fungi were negative. He was diagnosed as a case of Heerfordt-Waldenström syndrome, a rare form of sarcoidosis in which the compression of the facial nerve results in palsy. He was treated with 60 mg of prednisone daily, and at follow-up after two weeks later, the swelling and uveitis was resolved.