Hypertensive uveitis as a feature of multiple myeloma.
OBJECTIVE
To report a masquerade syndrome secondary to multiple myeloma iris infiltration.


METHODS
Observational case report.


METHODS
A 74-year-old Caucasian woman presenting with unilateral hypertensive uveitis and past medical history significant for multiple myeloma underwent aqueous cytology and a trabeculectomy with iridectomy.


RESULTS
Cytology revealed atypical plasma cells in the aqueous while the anatomopathologic analysis of iris tissue demonstrated a substitution of the iris tissue by neoplastic plasma cells. After surgery and a new cycle of chemotherapy best-corrected visual acuity and intraocular pressure improved.


CONCLUSIONS
Masquerade syndrome should always be considered in elderly uveitis. A correct diagnosis can be life-saving.
Guerriero
Silvana
S
Department of Ophthalmology, University of Bari, Bari, Italy. silvanaguerriero@gmail.com
Piscitelli
Domenico
D
Ciracì
Lorenza
L
Carluccio
Paola
P
Furino
Claudio
C
Specchia
Giorgina
G
D000368:Aged; D005134:Eye Neoplasms / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects; D032801:Iridectomy; D009101:Multiple Myeloma / Q000150:complications* / Q000473:pathology; D009798:Ocular Hypertension / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D010950:Plasma Cells / Q000473:pathology; D012008:Recurrence; D014130:Trabeculectomy; D014605:Uveitis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014792:Visual Acuity / Q000187:drug effects