Elnahry Ayman G, Elnahry Gehad A
Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Elnahry Eye Clinics, Giza, Egypt.
Neuroophthalmology. 2018 Jun 13;43(2):91-94. doi: 10.1080/01658107.2018.1467935. eCollection 2019 Apr.
A 24-year-old male presents with diminution of vision in both eyes of acute onset with floaters. He has a history of fever of unknown origin. Examination revealed bilateral optic disc granulomas with mild vitritis. Serum angiotensin converting enzyme was found to be elevated and tuberculin skin test was negative. Computed tomography scan of the chest showed clear lung fields with no hilar lymphadenopathy but mildly enlarged pretracheal lymph nodes. Computed tomography scan of the abdomen revealed multiple enlarged abdominal lymph nodes with hepatosplenomegaly, and ultrasound-guided biopsy of one of these lymph nodes showed chronic granulomatous inflammation consistent with sarcoidosis. Immunosuppressive therapy resulted in resolution of ocular inflammation with no recurrence.
一名24岁男性，急性起病，双眼视力下降伴飞蚊症。他有不明原因发热史。检查发现双侧视神经盘肉芽肿伴轻度玻璃体炎。血清血管紧张素转换酶升高，结核菌素皮肤试验阴性。胸部计算机断层扫描显示肺野清晰，无肺门淋巴结肿大，但气管前淋巴结轻度肿大。腹部计算机断层扫描显示多个腹部淋巴结肿大伴肝脾肿大，其中一个淋巴结的超声引导活检显示符合结节病的慢性肉芽肿性炎症。免疫抑制治疗使眼部炎症消退，未复发。
