[Multifocal inner choroiditis: pseudohistoplasmosis. The European form of the presumed American histoplasmosis].
We studied nine patients with the picture of presumed ocular histoplasmosis. All patients had the characteristic triad: punched out peripheral lesions, peripapillary atrophic scar and disciform process in the posterior pole. All patients had negative test for histoplasmosis (electrosyneresis). Four patients were observed for a long period (8, 8, 7 and 4 years). In two cases we could observe the first step of the basic choroidal lesions. One of these patients fundus was previously normal. Age, female to male ratio and in one case mild inflammatory lesions were similar to a new entity: multifocal choroiditis. The cause of European disseminated inner choroiditis remains unknown. There may be one or multiple causative agents including unidentified fungus.
D000293:Adolescent; D000328:Adult; D001284:Atrophy / Q000209:etiology; D002833:Choroiditis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005060:Europe; D005260:Female; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D006660:Histoplasmosis / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009389:Neovascularization, Pathologic / Q000175:diagnosis; D010857:Pigment Epithelium of Eye / Q000473:pathology
Choroïdite multifocale interne: pseudohistoplasmose. Forme européenne de l'histoplasmose présumée américaine.