Metastatic lung and pleural malignancy presenting as bilateral acute anterior uveitis.
Anterior uveitis is associated with a variety of underlying systemic diseases but the association between bilateral acute anterior uveitis (BAAU) and lung and pleural malignancy is not widely recognized. The case is described here of a 61-year-old woman presenting to an eye clinic with BAAU. A routine chest radiograph performed principally to exclude pulmonary sarcoidosis revealed an intrapulmonary mass and she was subsequently found to have widespread lung and pleural malignancies. Evidence is discussed that suggests a link and potential aetiology between BAAU and lung and pleural malignancies. The present case shows the virtue of requesting a chest radiograph in patients presenting with BAAU, even in the absence of other symptoms or clinical findings.
Idris
Iskandar
I
Lim
Chea S
CS
Johnston
Ian D
ID
Mansell
Peter
P
D000208:Acute Disease; D001932:Brain Neoplasms / Q000532:radiotherapy / Q000556:secondary*; D003907:Dexamethasone / Q000627:therapeutic use; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology* / Q000532:radiotherapy; D008654:Mesothelioma / Q000532:radiotherapy / Q000556:secondary*; D008875:Middle Aged; D010997:Pleural Neoplasms / Q000473:pathology* / Q000532:radiotherapy; D014606:Uveitis, Anterior / Q000188:drug therapy / Q000209:etiology*
D005938:Glucocorticoids; D003907:Dexamethasone