Kumar Sunil
Department of Ophthalmology, Mohammad Dossary Hospital, PO Box 335 Al Khobar 31952, Kingdom of Saudi Arabia.
Clin Rheumatol. 2007 Jul;26(7):1145-7. doi: 10.1007/s10067-006-0271-9. Epub 2006 Apr 22.
I report two patient presented to me with bilateral symmetrical ankle edema and bilateral acute iritis. A 42-year-old female of Indian origin and 30-year-old female from Somalia both presented with bilateral acute iritis. In the first patient, bilateral ankle edema preceded the onset of bilateral acute iritis. Bilateral ankle edema developed during the course of disease after onset of ocular symptoms in the second patient. Both patients did not suffer any significant ocular problem in the past, and on systemic examination, all clinical parameters were within normal limit. Lacrimal gland and conjunctival nodule biopsy established the final diagnosis of sarcoidosis in both cases, although the chest x-rays were normal.
我报告了两位前来就诊的患者，他们均出现双侧对称性踝关节水肿和双侧急性虹膜炎。一位42岁的印度裔女性和一位30岁的索马里女性都表现为双侧急性虹膜炎。在第一位患者中，双侧踝关节水肿先于双侧急性虹膜炎发作。在第二位患者中，双侧踝关节水肿在眼部症状出现后的病程中发生。两位患者过去均未患过任何严重的眼部疾病，经全身检查，所有临床参数均在正常范围内。泪腺和结膜结节活检确诊了这两例患者的结节病，尽管胸部X光片正常。
