{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:00:33Z","timestamp":1787169633655,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>Epstein\u2013Barr virus (EBV), a common human herpesvirus, usually causes a self-limited illness in children, manifested by fever, pharyngitis, and lymphadenopathy. However, patients may have atypical presentations including rare ocular manifestations like uveitis, dacryoadenitis, ptosis, or pseudoptosis. In this report, we describe EBV presenting as pseudoptosis in a previously healthy 7-year-old boy. The child was initially worked up as having possible myasthenia gravis with neurologic and ophthalmologic consultations. Ultimately, he was diagnosed with viral dacryoadenitis due to acute EBV infection causing pseudoptosis. We present this case to highlight rare ocular manifestations in EBV which are important to recognize to prevent misdiagnosis and unnecessary investigations.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_2182_25","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T14:01:22Z","timestamp":1779544882000},"page":"1834-1836","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Pseudoptosis due to acute dacryoadenitis: An unusual presentation of Epstein\u2013Barr virus infection in a child"],"prefix":"10.4103","volume":"15","author":[{"given":"Fahad","family":"Alotaibi","sequence":"first","affiliation":[{"name":"King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia"},{"name":"Department of Pediatrics, King Abdullah Specialist Children\u2019s Hospital, King Abdulaziz Medical City, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zainah","family":"Alshehri","sequence":"additional","affiliation":[{"name":"King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia"},{"name":"Department of Pediatrics, King Abdullah Specialist Children\u2019s Hospital, King Abdulaziz Medical City, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahir","family":"Hameed","sequence":"additional","affiliation":[{"name":"King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia"},{"name":"Department of Pediatrics, King Abdullah Specialist Children\u2019s Hospital, King Abdulaziz Medical City, Riyadh, Saudi 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Clin"},{"key":"R8-20260603","doi-asserted-by":"crossref","first-page":"735","DOI":"10.4103\/IJO.IJO_181_24","article-title":"Ebstein-Barr virus- induced dacryoadenitis in a child: An unusual sign of a common disease and review of literature","volume":"4","author":"Gamalero","year":"2024","journal-title":"Indian J Ophthalmol Case Rep"},{"key":"R9-20260603","doi-asserted-by":"crossref","first-page":"fmaa121","DOI":"10.1093\/tropej\/fmaa121","article-title":"Primary Epstein-Barr virus infection in healthy children in Saudi Arabia: A single hospital-based study","volume":"67","author":"Zaki","year":"2021","journal-title":"J Trop Pediatr"},{"key":"R10-20260603","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/s12348-023-00349-y","article-title":"Atypical presentation of bilateral Epstein-Barr virus dacryoadenitis: A case report of corticosteroid resistant orbital inflammation","volume":"13","author":"Tan","year":"2023","journal-title":"J Ophthalmic Inflamm 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