Scleral nodule associated with sarcoidosis.
Scleral nodule associated with sarcoidosis.
复制标题
巩膜结节与结节病相关。
DOI：
10.1016/s0002-9394(03)00454-9
复制
发表时间：
2003
影响因子：
4.2
通讯作者：
Jabs,DouglasA
中科院分区：
文献类型：
--
作者：
Qazi,FaqirA;Thorne,JenniferE;Jabs,DouglasA
目的：描述一例与系统性结节病相关的巩膜炎性结节的罕见病例。方法：观察性病例报告。患者左眼有一个红色、疼痛、升高的巩膜结节，对非甾体抗炎药和局部皮质类固醇无反应。结果：除肝功能检查升高外，实验室检查正常。胃肠病学家的进一步评估显示继发于结节病的肉芽肿性肝炎，经肝活检证实。口服强的松治疗后肝炎及巩膜结节消退。患者已复发超过7个月的following.CONCLUSION虽然罕见，巩膜疾病可能与结节病。
PURPOSETo describe an unusual case of an inflammatory scleral nodule associated with systemic sarcoidosis.DESIGNObservational case report.METHODSA patient presented with a red, painful, elevated scleral nodule on the left eye that was unresponsive to nonsteroidal anti-inflammatory drugs and topical corticosteroids.RESULTSLaboratory evaluation was normal with the exception of elevated liver function tests. Further evaluation by a gastroenterologist revealed a granulomatous hepatitis secondary to sarcoidosis, which was confirmed by liver biopsy. Treatment with oral prednisone resulted in resolution of the hepatitis and scleral nodule. The patient has been recurrence-free over 7 months of follow-up.CONCLUSIONAlthough rare, scleral disease may be associated with sarcoidosis.