ABSTRACT

Purpose

To present a case of multifocal choroidal nodules as the sole manifestation of systemic sarcoidosis with role of PET- CT Scan.

Methods

Retrospective observational case report.

Results

A 66 -year-old male presented with blurring of vision in left eye since 2 weeks. He had no systemic complaints. On fundus examination in left eye showed three well -defined choroidal nodules inferotemporal to optic disc. A negative mantoux test, elevated serum angiotensin converting enzyme level and PET scan analysis helped to clinch the diagnosis of sarcoid uveitis. The choroidal nodules completely resolved after a course of oral corticosteroid.

Conclusion

Multifocal choroidal nodules can be the sole manifestation of systemic sarcoidosis.

中文翻译：

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单侧多灶性脉络膜结节作为系统性结节病的唯一初始表现——PET-CT 扫描的诊断作用

摘要

目的

提出一例多灶性脉络膜结节作为系统性结节病的唯一表现，并采用 PET-CT 扫描。

方法

回顾性观察病例报告。

结果

一名 66 岁男性因左眼视力模糊 2 周就诊。他没有全身不适。左眼眼底检查显示三个边界清楚的脉络膜结节位于视神经盘下方。Mantoux 试验阴性、血清血管紧张素转换酶水平升高和 PET 扫描分析有助于确定肉瘤性葡萄膜炎的诊断。口服皮质类固醇疗程后，脉络膜结节完全消退。

结论

多灶性脉络膜结节可能是系统性结节病的唯一表现。