Abramowicz Stéphane, Wassef Michel, Touhami Sara
Department of Ophthalmology, Hôpital Universitaire Pitié-Salpêtrière, Sorbonne Université, 47-83 Boulevard de l'Hôpital, 75013, Paris, France.
Department of Pathology, Hôpital Lariboisière, Université Paris Diderot, 2 Rue Ambroise Paré, 75010, Paris, France.
Sarcoidosis Vasc Diffuse Lung Dis. 2023 Dec 20;40(4):e2023039. doi: 10.36141/svdld.v40i4.15122.
Ocular sarcoidosis is present in 30-60% of all sarcoidosis patients. Our purpose is to increase awareness of the various presentations of ocular sarcoidosis.
Short image-based clinical case report.
We report on a case of ocular sarcoidosis presenting with unilateral choroidal nodules in a middle-aged man. Sarcoid uveitis is generally bilateral and rather symmetrical. However, choroidal nodules are an exception to this rule, as they generally arise unilaterally. Choroidal nodules are highly responsive to oral corticosteroids. When left untreated, they may evolve to chorioretinal atrophy and secondary choroidal neovascularization.
Knowledge of this presentation of ocular sarcoidosis can help clinicians optimize treatment outcomes for patients.
眼部结节病在所有结节病患者中占30%-60%。我们的目的是提高对眼部结节病各种表现的认识。
基于图像的简短临床病例报告。
我们报告了一例中年男性单侧脉络膜结节性眼部结节病病例。结节性葡萄膜炎通常为双侧且较为对称。然而，脉络膜结节是个例外，它们通常单侧出现。脉络膜结节对口服皮质类固醇高度敏感。若不治疗，可能发展为脉络膜视网膜萎缩和继发性脉络膜新生血管形成。
了解眼部结节病的这种表现有助于临床医生优化患者的治疗效果。
