Document Detail


Hemorrhagic retinopathy as the presenting manifestation of sarcoidosis.
MedLine Citation:
PMID:  8594636     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The diagnosis of ocular sarcoidosis is particularly challenging in patients who present with atypical clinical findings and no evidence of systemic disease. We describe a patient whose initial clinical manifestation of sarcoidosis was a unilateral hemorrhagic retinopathy. METHOD: Clinicopathologic case study. RESULTS: The diagnosis of sarcoidosis in this patient was delayed for over a year principally because of the atypical retinal findings and because repeated chest X-rays and serum angiotensin covering enzyme (ACE) levels were normal. Surgical enucleation of the eye once it was blind revealed a large noncaseating granuloma of the ciliary body. Inflammation and thrombosis of several large caliber retinal veins and a single branch of the retrolaminar hemicentral retinal vein were found. CONCLUSIONS: Major retinal branch vein occlusion and hemi-central retinal branch occlusion are rare complications of ocular sarcoidosis. Normal serum ACE levels do not exclude the diagnosis of ocular sarcoidosis even in patients with considerable amounts of intraocular granulomatous inflammation.
Authors:
A J DeRosa; C E Margo; M E Orlick
Related Documents :
6266206 - Free light chains of immunoglobulins in serum from patients with rheumatoid arthritis, ...
2681886 - Non-hodgkin's lymphoma of the pleural cavity developing from long-standing pyothorax. s...
8213336 - The association of age with the presentation and outcome of tuberculosis: a five-year s...
3465136 - Asbestos bodies in bronchoalveolar lavage fluid. a study of 20 asbestos-exposed individ...
2679046 - Gastric varices: profile, classification, and management.
20226426 - Apical-sparing variant of tako-tsubo cardiomyopathy: prevalence and characteristics.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Retina (Philadelphia, Pa.)     Volume:  15     ISSN:  0275-004X     ISO Abbreviation:  Retina (Philadelphia, Pa.)     Publication Date:  1995  
Date Detail:
Created Date:  1996-04-09     Completed Date:  1996-04-09     Revised Date:  2006-12-15    
Medline Journal Info:
Nlm Unique ID:  8309919     Medline TA:  Retina     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  422-7     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, University of South Florida College of Medicine, Tampa, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Choroid / pathology
Fundus Oculi
Humans
Male
Retina / pathology
Retinal Diseases / complications,  diagnosis*,  pathology
Retinal Hemorrhage / diagnosis*,  etiology,  pathology
Retinal Vessels / pathology
Sarcoidosis / complications,  diagnosis*,  pathology
Comments/Corrections
Comment In:
Retina. 1996;16(3):266-7   [PMID:  8789873 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Intraocular intrusion of sutures after retinal detachment buckling surgery.
Next Document:  Vancomycin levels after intravitreal injection. Effects of inflammation and surgery.