Sclerochoroidal granuloma in Wegener's granulomatosis simulating a uveal melanoma.
BACKGROUND
It is known that Wegener's granulomatosis may affect the eye, but macroscopically visible granulomas in patients with this condition have not yet been described.


METHODS
Results of clinical, ultrasound, and histologic examination of a patient with Wegener's granulomatosis are presented.


RESULTS
A sclerochoroidal granuloma in this patient simulated an uveal melanoma. It was not possible to unequivocally differentiate the lesion from a uveal melanoma on sonographic examination, but histologic examination confirmed the diagnosis of sclerochoroidal granuloma.


CONCLUSIONS
Macroscopically visible sclerochoroidal granuloma is another facet of Wegener's granulomatosis, and in some cases may be mistaken for uveal melanoma.
Janknecht
P
P
Department of Ophthalmology, University of Freiburg, Germany.
Mittelviefhaus
H
H
Löffler
K U
KU
D002829:Choroid / Q000000981:diagnostic imaging / Q000473:pathology; D015862:Choroid Diseases / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D006099:Granuloma / Q000175:diagnosis / Q000209:etiology*; D014890:Granulomatosis with Polyangiitis / Q000150:complications*; D006801:Humans; D008545:Melanoma / Q000175:diagnosis; D008875:Middle Aged; D012590:Sclera / Q000000981:diagnostic imaging / Q000473:pathology; D015422:Scleral Diseases / Q000175:diagnosis / Q000209:etiology*; D014463:Ultrasonography; D014604:Uveal Neoplasms / Q000175:diagnosis