Solitary Sarcoid Granuloma of the Iris Mimicking Tuberculosis: A Case Report
Joint Authors
Rejdak, Robert
Pogorelov, Pavel
Mardin, Christian Y.
Szkaradek, Małgorzata
Jünemann, Anselm G. M.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-10
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
We report a case of a male patient presented with sarcoid lesions of the iris and conjunctiva, mimicking tuberculosis due to epithelioid cell granulomas with small central necrosis in conjunctival biopsy.
Patient.
A 25-year-old man was referred to our department for further management of an “iris tumor with iridocyclitis” in his right eye.
Initial examination showed an isolated vascular tumor of the iris and ciliary body with anterior uveitis and mutton-fat keratic precipitates, suggesting the diagnosis of a granulomatous disease.
Conjunctival biopsy revealed granulomatous epithelioid cell inflammation with small central necrosis without acid-fast bacilli.
Extensive systemic examination, including bronchoscopy and transbronchial biopsy, provided the diagnosis of sarcoidosis stage 2 with pulmonary involvement, thus ruling out tuberculosis.
Systemic and local steroid therapy was initiated, leading to complete recovery of our patient with complete disappearance of the iris lesion and improvement of the pulmonary function.
Conclusion.
Although noncaseating epithelioid cell granulomas are typical for sarcoidosis, small central necrosis can be found in some granulomas, leading to presumption of tuberculosis.
Extensive systemic checkup in cooperation with other specialists is essential to confirm the correct diagnosis and to initiate the appropriate therapy.
American Psychological Association (APA)
Rejdak, Robert& Pogorelov, Pavel& Mardin, Christian Y.& Szkaradek, Małgorzata& Jünemann, Anselm G. M.. 2014. Solitary Sarcoid Granuloma of the Iris Mimicking Tuberculosis: A Case Report. Journal of Ophthalmology،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1042590
Modern Language Association (MLA)
Rejdak, Robert…[et al.]. Solitary Sarcoid Granuloma of the Iris Mimicking Tuberculosis: A Case Report. Journal of Ophthalmology No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-1042590
American Medical Association (AMA)
Rejdak, Robert& Pogorelov, Pavel& Mardin, Christian Y.& Szkaradek, Małgorzata& Jünemann, Anselm G. M.. Solitary Sarcoid Granuloma of the Iris Mimicking Tuberculosis: A Case Report. Journal of Ophthalmology. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1042590
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1042590