title: Inflammatory optic disc edema due to Sarcoidosis mimicking malignant hypertension.
abstract: A common ocular manifestation of sarcoidosis is anterior uveitis. Posterior uveitis is uncommon and optic disc edema is rare. We report one such case in which the initial presentation was mimicking malignant hypertension as the patient had a recent record of high blood pressure. However, the painful progressive vision loss due to optic disc edema, along with anterior uveitis, and histological proof of non-caseating granulomas on transbronchial lung biopsy clinched the diagnosis of ocular sarcoidosis. There was complete resolution of signs and symptoms with institution of steroids. There was also probable cardiac involvement. This case highlights the fact that all disc edemas in a diabetic and hypertensive patients is not just due to malignant hypertension, even if there is a recent history of elevated blood pressure.
authors.affiliation: Department of Internal Medicine, PGIMER, Chandigarh, India.
authors.forename: Aman
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Department of Internal Medicine, PGIMER, Chandigarh, India.
authors.forename: Vinay
authors.initials: V
authors.lastname: Sagar
authors.affiliation: Department of Radiodiagnosis, PGIMER, Chandigarh, India.
authors.forename: Veenu
authors.initials: V
authors.lastname: Singla
authors.affiliation: Department of Medical Microbiology, PGIMER, Chandigarh, India.
authors.forename: Kusum
authors.initials: K
authors.lastname: Sharma
authors.affiliation: Department of Ophthalmology, PGIMER, Chandigarh, India.
authors.forename: Ramandeep
authors.initials: R
authors.lastname: Singh
authors.affiliation: Department of Internal Medicine, PGIMER, Chandigarh, India.
authors.forename: Surjit
authors.initials: S
authors.lastname: Singh
authors.affiliation: Department of Ophthalmology, PGIMER, Chandigarh, India.
authors.forename: Amod
authors.initials: A
authors.lastname: Gupta
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use; D001706:Biopsy; D003937:Diagnosis, Differential; D003941:Diagnostic Techniques, Ophthalmological; D004562:Electrocardiography; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D006974:Hypertension, Malignant / Q000150:complications* / Q000175:diagnosis; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008875:Middle Aged; D009902:Optic Neuritis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D010211:Papilledema / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D011237:Predictive Value of Tests; D017565:Sarcoidosis, Pulmonary / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014606:Uveitis, Anterior / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000959:Antihypertensive Agents; D005938:Glucocorticoids; D007004:Hypoglycemic Agents
keywords: cardiac sarcoidosis; malignant hypertension; ocular sarcoidosis; optic disc edema; pulmonary; sarcoidosis