Diagnosis of systemic sarcoidosis in a patient with bilateral granulomatous pan uveitis: a case report
Shreeya Thapaliya, Prashant Pant, Sandip Paudel, Sujha Ghimire- General Medicine
- Surgery
Introduction and importance:
Sarcoidosis is a systemic disease usually presenting with features of hilar lymphadenopathy like persistent cough, dyspnea, cough, night sweats. However, its first and only manifestation can be ocular symptoms consistent with uveitis.
Case presentation:
We present such association in a 53-year-old female who had ocular symptoms on and off, designated as uveitis. Despite medications, her symptoms rather flared up. On diagnostic assesement done years later, chest X ray showed bilateral hilar lymphadenopathy, serum angiotensin converting enzyme (ACE) levels were also raised, and the diagnosis of systemic sarcoidosis was confirmed.
Clinical discussion:
Eye involvement can occur way before the systemic presence of the disease is detected and can be present clinically as an isolated entity which makes diagnosis of underlying sarcoidosis a challenge.
Conclusion:
Consideringsarcoidosis as one of the differential diagnosis when attending patients with non-resolving uveitis remains the mainstay of this report.