title: Hypertensive uveitis as a feature of multiple myeloma.
abstract: 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.
authors.affiliation: Department of Ophthalmology, University of Bari, Bari, Italy. silvanaguerriero@gmail.com
authors.forename: Silvana
authors.initials: S
authors.lastname: Guerriero
authors.forename: Domenico
authors.initials: D
authors.lastname: Piscitelli
authors.forename: Lorenza
authors.initials: L
authors.lastname: Ciracì
authors.forename: Paola
authors.initials: P
authors.lastname: Carluccio
authors.forename: Claudio
authors.initials: C
authors.lastname: Furino
authors.forename: Giorgina
authors.initials: G
authors.lastname: Specchia
mesh_terms: 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