Laghmari M, Skiker H, Boutimzine N, Daoudi R
Service d'ophtalmologie A- Hôpital des spécialités, Rabat, Maroc.
Bull Soc Belge Ophtalmol. 2008(307):47-51.
Sarcoidosis is a multisystemic granulomatous disorder affecting young adults. It is very unfrequent in children. The authors report the case of an 11-year-old boy with a history of a pulmonary affection who was referred from the department of paediatrics for red eyes. Ocular examination disclosed phlyctenular keratoconjunctivitis, ocular dryness, posterior uveitis and choroidal granulomas confirmed by fluoresceinic angiography. The diagnosis of pulmonary, ganglionnary and ocular sarcoidosis was made. The authors recalled the clinical particularities of sarcoidosis in childhood and emphasized the difficulties of the differential diagnosis between sarcoidosis and tuberculosis.
结节病是一种影响年轻人的多系统肉芽肿性疾病。在儿童中非常罕见。作者报告了一例11岁男孩的病例,该男孩有肺部疾病史,因眼红从儿科转诊而来。眼部检查发现泡性角结膜炎、眼干、后葡萄膜炎以及荧光素血管造影证实的脉络膜肉芽肿。诊断为肺部、淋巴结及眼部结节病。作者回顾了儿童结节病的临床特点,并强调了结节病与结核病鉴别诊断的困难。