| Hemorrhagic retinopathy as the presenting manifestation of sarcoidosis. | |
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MedLine Citation:
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PMID: 8594636 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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A J DeRosa; C E Margo; M E Orlick |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Retina (Philadelphia, Pa.) Volume: 15 ISSN: 0275-004X ISO Abbreviation: Retina (Philadelphia, Pa.) Publication Date: 1995 |
Date Detail:
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Created Date: 1996-04-09 Completed Date: 1996-04-09 Revised Date: 2006-12-15 |
Medline Journal Info:
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Nlm Unique ID: 8309919 Medline TA: Retina Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 422-7 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, University of South Florida College of Medicine, Tampa, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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Retina. 1996;16(3):266-7
[PMID:
8789873
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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