title: [Granulomatous process of the optic papilla as an initial sign of systemic sarcoidosis].
abstract: 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.
authors.affiliation: Universitäts-Augenklinik Homburg.
authors.forename: A
authors.initials: A
authors.lastname: el Zarka
authors.forename: K
authors.initials: K
authors.lastname: Hille
authors.forename: K W
authors.initials: KW
authors.lastname: Ruprecht
mesh_terms: 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
vernacular_title: Granulomatöser Papillenprozess als erstes Zeichen einer systemischen Sarkoidose.