J Korean Ophthalmol Soc.  2004 Mar;45(3):438-443.

A Case of Sarcoidosis Misdiagnosed as Tuberculosis in the Early Phase

Affiliations
  • 1Department of Ophthalmology, Kyung Hee University Hospital, Korea. hwkwak@khmc.or.kr
  • 2Department of Ophthalmology, Konkuk University, Chungju Hospital, Korea.

Abstract

PURPOSE
Sarcoidosis is a multsystem granulomatous disorder of an unknown etiology. In the early phase, sarcoidosis is clinically similar to the tuberculosis. In the Korea, few case have been reported. We experienced a case of sarcoidosis that was diagnosed with an ocular examination and corresponded with a systemic investigation. We report a case of sarcoidosis. METHODS: The authors experienced a case of sarcoidosis in a 33-year-old female who was given an incorrect diagnosis of tuberculosis in the early phase. The ocular examination revealed an anterior chamber cell and flare, posterior synechia, periphlebitis, and discitis. A systemic investigation yielded an increase in ACE (angiotensin converting enzyme) and an abnormal 67-Gallium-scintigraphy. RESULTS: The antituberculosis agents were stopped and the patient was started on systemic steroid, prednisolon 60mg once daily for 4weeks, which was slowly tapered off over subsequent 8 weeks. Good results were obtained.

Keyword

Corticosteroid; Sarcoidosis; Tuberculosis
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