Khan J A, Hoover D L, Giangiacomo J, Singsen B H
J Pediatr Ophthalmol Strabismus. 1986 Jul-Aug;23(4):190-4. doi: 10.3928/0191-3913-19860701-09.
Orbital infiltration, anterior uveitis, disc edema, choroiditis, erythema nodosum, and polyarticular arthritis due to sarcoidosis occurred in a five-year-old child who presented with unilateral proptosis. Diagnosis was enhanced by computerized tomography of the orbit, and confirmed by synovial biopsy findings. This patient's course illustrates the importance of thorough and frequent ocular examinations in childhood uveitis associated with systemic disease and demonstrates an unusual finding of orbital sarcoidosis. Childhood sarcoid arthritis may be misdiagnosed as juvenile rheumatoid arthritis. Familiarity with the ocular and systemic findings may lead to the correct diagnosis.
一名5岁儿童因结节病出现眼眶浸润、前葡萄膜炎、视盘水肿、脉络膜炎、结节性红斑和多关节性关节炎，并伴有单侧眼球突出。眼眶计算机断层扫描增强了诊断，并通过滑膜活检结果得以证实。该患者的病程说明了在与全身性疾病相关的儿童葡萄膜炎中进行全面且频繁眼部检查的重要性，并展示了眼眶结节病的一个不寻常发现。儿童结节病关节炎可能被误诊为青少年类风湿性关节炎。熟悉眼部和全身表现可能有助于做出正确诊断。
