Abstract
Sarcoidosis is a multisystem disease of unknown aetiology with pulmonary involvement in most patients. Uveitis is common and often characteristic. We report a case of ocular sarcoidosis with grossly atypical contiguous optic neuropathy and choroiditis and describe the diagnostic challenges in this highly unusual presentation. High-dose systemic corticosteroid and immunosuppressive treatment was required for sustained control of intraocular inflammation.
Keywords:
eye; retina.
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MeSH terms
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Adrenal Cortex Hormones / administration & dosage
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Azathioprine / administration & dosage
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Choroiditis / diagnosis
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Choroiditis / drug therapy
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Diagnosis, Differential
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Drug Administration Schedule
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Drug Therapy, Combination
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Eye Diseases / diagnosis*
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Eye Diseases / drug therapy
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Female
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Humans
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Immunosuppressive Agents / administration & dosage
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Methylprednisolone / administration & dosage
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Middle Aged
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Optic Nerve Diseases / diagnosis
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Optic Nerve Diseases / drug therapy
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Positron Emission Tomography Computed Tomography
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Prednisolone / administration & dosage
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Sarcoidosis / diagnosis*
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Sarcoidosis / drug therapy
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Tomography, Optical Coherence
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Uveitis / diagnosis
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Uveitis / drug therapy
Substances
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Adrenal Cortex Hormones
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Immunosuppressive Agents
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Prednisolone
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Azathioprine
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Methylprednisolone