Department of Retina and Uvea, Sadguru Netra Chikitsalaya, Chitrakoot, India.
Ocul Immunol Inflamm. 2024 Aug;32(6):1097-1100. doi: 10.1080/09273948.2022.2164730. Epub 2023 Jan 26.
To report a case of disseminated TB presenting as ciliary body and thyroid mass lesions.
A 17-year-old male patient presented with a thyroid mass and blurring of vision in the left eye. A diagnosis of ciliary body granuloma was made. Although the Mantoux was negative, the HRCT chest showed evidence of miliary TB, and the fine needle aspiration cytology from the thyroid mass revealed AFB. On initiation of Antitubercular therapy(ATT), a paradoxical worsening of ciliary body granuloma was noted which resolved on starting steroids.
Involvement of thyroid gland and ciliary body although rare in tuberculosis, may be the presenting feature of disseminated TB. Paradoxical reactions seen after initiation of ATT in these cases may respond well to oral steroids.
报告一例以睫状体和甲状腺肿块病变为表现的播散性结核病例。
一名 17 岁男性患者因甲状腺肿块和左眼视力模糊就诊。诊断为睫状体肉芽肿。尽管曼托试验阴性，但胸部高分辨率 CT 显示有粟粒性结核的证据，甲状腺肿块的细针抽吸细胞学检查显示有 AFB。开始抗结核治疗（ATT）后，睫状体肉芽肿出现矛盾性恶化，但开始使用类固醇后得到缓解。
尽管在结核病中甲状腺和睫状体受累罕见，但可能是播散性结核的表现。这些病例在开始 ATT 后出现的矛盾反应可能对口服类固醇反应良好。
