Retinal cotton-wool spots as the first sign of systemic sarcoidosis.
Isolated retinal cotton-spots have not yet been reported as the sign of ocular sarcoidosis. We describe three patients with retinal cotton-wool spots of initially unknown etiology in whom systemic sarcoidosis was diagnosed 6-16 months later. The diagnosis was confirmed by conjunctival biopsy. These observations indicate that sarcoidosis should be included in the differential diagnosis of retinal cotton-wool spots and patients with these lesions should be followed for the development of this disease.
Prost
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ME
Department of Ophthalmology, Childrens Memorial Health Institute, Warsaw, Poland.
D000328:Adult; D005451:Fluorescein Angiography; D006801:Humans; D008297:Male; D012164:Retinal Diseases / Q000209:etiology / Q000473:pathology*; D012507:Sarcoidosis / Q000150:complications / Q000473:pathology*