[Granulomatous process of the optic papilla as an initial sign of systemic sarcoidosis].
Sarcoidosis is a systemic granulomatosis disease of unknown cause that may involve many ocular structures in about one third of cases. The findings of a posterior uveitis include vitritis, retinal periphlebitis, chorioretinal infiltrates, serpiginouschoroiditis, optic nerve atrophy and edema or granulomatous infiltration of the papilla. The central nervous system is clinically affected in 5 to 15% of cases. Despite several dozen published case reports of sarcoidoses of the optic nerve, direct infiltration of this structure is considered rare. We describe herein the case of 25-year-old white man whose only symptom of systemic sarcoidosis was optic nerve granuloma.
el Zarka
A
A
Universitäts-Augenklinik Homburg.
Hille
K
K
Ruprecht
K W
KW
D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009896:Optic Atrophy / Q000175:diagnosis; D009898:Optic Disk / Q000473:pathology; D009901:Optic Nerve Diseases / Q000175:diagnosis*; D012507:Sarcoidosis / Q000175:diagnosis*; D017565:Sarcoidosis, Pulmonary / Q000175:diagnosis
Granulomatöser Papillenprozess als erstes Zeichen einer systemischen Sarkoidose.