Tuberculous choroidal granulomas in a patient with systemic lupus erythematosus. A case report.
OBJECTIVE
We report a case of tuberculous choroidal granulomas in a patient with systemic lupus erythematosis (SLE) who developed miliary tuberculosis (TB) and bilateral granulomas while on immunosuppressive medication.


METHODS
The case notes of this patient were reviewed.


RESULTS
The patient was first seen for base-line ophthalmic screening before anti-tuberculous medication was started. The patient was subsequently followed up at 2 weeks, 4 weeks and 2 months with fundal examination and photography. One choroidal granuloma was found in the right eye while another peripheral lesion involved the left eye. Both resolved in response to anti-tuberculous medication over a 2-month period with resultant chorioretinal atrophy and scarring.


CONCLUSIONS
This case demonstrates the need to screen immuno-suppressed SLE patients who have miliary TB for possible eye involvement.
The Eye Institute, Department of Ophthalmology, Tan Tock Seng Hospital, Singapore.
J C
JC
Wang
G C
GC
Chuah
E Y
EY
Yap
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D015862:Choroid Diseases / Q000188:drug therapy / Q000209:etiology*; D003362:Cost-Benefit Analysis; D005260:Female; D005654:Fundus Oculi; D006099:Granuloma / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D016867:Immunocompromised Host; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000276:immunology; D012307:Risk Factors; D014391:Tuberculosis, Miliary / Q000188:drug therapy / Q000209:etiology*; D014392:Tuberculosis, Ocular / Q000188:drug therapy / Q000209:etiology*
D000995:Antitubercular Agents