Dufay-Dupar B, Soubrane G, Ortonne N
Service d'Ophtalmologie Universitaire de Créteil V-Paris XII.
J Fr Ophtalmol. 2006 Nov;29(9):e23. doi: 10.1016/s0181-5512(06)73895-5.
Sarcoidosis is a multisystemic disease characterized by a noncaseating granuloma. Posterior segment disease with white choroidal dots occurs in only 5% of sarcoidosis cases with ocular involvement.
We report here the case of a 45-year-old Caucasian patient complaining of a skin rash. The biomicroscopic examination of the posterior poles revealed bilateral choroidal white dots with kidney insufficiency. A kidney and skin biopsy revealed the diagnosis of sarcoidosis.
This case is a rare example of posterior segment manifestation in sarcoidosis that must be considered when observing white choroidal dots.