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Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 4/2005

01-04-2005 | Short Communication

A patient with sarcoidosis diagnosed by a biopsy of scleral nodules

Authors: Wataru Saito, Satoshi Kotake, Shigeaki Ohno

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 4/2005

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Abstract

Purpose

To report the case of a patient with nodular scleritis who was diagnosed as having sarcoidosis by a biopsy of scleral nodules.

Methods

Case report.

Results

A 26-year-old man with nodular scleritis underwent a biopsy of scleral nodules. The year before, he had been diagnosed with granulomatous iridocyclitis of the right eye. Although sarcoidosis had been suspected, extensive systemic examinations resulted in no positive findings of sarcoidosis. Histopathological specimens revealed non-caseating epithelioid granuloma with giant cells. The nodular scleritis was resolved by topical corticosteroids.

Conclusions

A scleral biopsy is useful for the diagnosis of sarcoidosis when the patient has nodular scleritis with no systemic signs.
Literature
1.
go back to reference Belfer MH, Stevens RW (1998) Sarcoidosis: a primary care review. Am Fam Physician 58:2041–2050PubMed Belfer MH, Stevens RW (1998) Sarcoidosis: a primary care review. Am Fam Physician 58:2041–2050PubMed
2.
go back to reference Heiligenhaus A, Michel D, Koch JM (2003) Nodular scleritis in a patient with sarcoidosis. Br J Ophthalmol 87:507–508CrossRefPubMed Heiligenhaus A, Michel D, Koch JM (2003) Nodular scleritis in a patient with sarcoidosis. Br J Ophthalmol 87:507–508CrossRefPubMed
3.
go back to reference Jabs DA, Johns CJ (1986) Ocular involvement in chronic sarcoidosis. Am J Ophthalmol 102:297–301PubMed Jabs DA, Johns CJ (1986) Ocular involvement in chronic sarcoidosis. Am J Ophthalmol 102:297–301PubMed
4.
go back to reference Newman LS, Rose CS, Maier LA (1997) Sarcoidosis. N Engl J Med 33:1224–1234CrossRef Newman LS, Rose CS, Maier LA (1997) Sarcoidosis. N Engl J Med 33:1224–1234CrossRef
6.
go back to reference Spaide RF, Ward DL (1990) Conjunctival biopsy in the diagnosis of sarcoidosis. Br J Ophthalmol 74:469–471PubMed Spaide RF, Ward DL (1990) Conjunctival biopsy in the diagnosis of sarcoidosis. Br J Ophthalmol 74:469–471PubMed
7.
go back to reference Tuft SJ, Watson PG (1991) Progression of scleral disease. Ophthalmology 98:467–471PubMed Tuft SJ, Watson PG (1991) Progression of scleral disease. Ophthalmology 98:467–471PubMed
8.
go back to reference Usui Y, Kaiser ED, See RF, Rao NA, Sharma OP (2002) Update of ocular manifestations in sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis 19:167–175PubMed Usui Y, Kaiser ED, See RF, Rao NA, Sharma OP (2002) Update of ocular manifestations in sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis 19:167–175PubMed
9.
go back to reference Watson PG, Hayreh SS (1976) Scleritis and episcleritis. Br J Ophthalmol 60:163–191PubMed Watson PG, Hayreh SS (1976) Scleritis and episcleritis. Br J Ophthalmol 60:163–191PubMed
10.
go back to reference Weinreb RN (1984) Diagnosing sarcoidosis by transconjunctival biopsy of the lacrimal gland. Am J Ophthalmol 97:573–576PubMed Weinreb RN (1984) Diagnosing sarcoidosis by transconjunctival biopsy of the lacrimal gland. Am J Ophthalmol 97:573–576PubMed
Metadata
Title
A patient with sarcoidosis diagnosed by a biopsy of scleral nodules
Authors
Wataru Saito
Satoshi Kotake
Shigeaki Ohno
Publication date
01-04-2005
Publisher
Springer-Verlag
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 4/2005
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-004-1023-7

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