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A case of sarcoidosis diagnosed by histopathological studies of intraocular tissue Kouhei Murase 1 , Hiroshi Goto 1 , Yasuyuki Yamauchi 1 , Masahiko Usui 1 1Dept of Ophthalmol,Tokyo Med Univ Hosp pp.1823-1826
Published Date 2003/12/15
DOI https://doi.org/10.11477/mf.1410101518
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Abstract. Purpose:To report a case of sarcoidosis diagnosed by histopathological studies of intraocular tissue. Case:A 51-year-old woman presented with blurred vision and floating spots since 2 weeks before. Both eyes showed retrocorneal mutton-fat precipitates,nodules in the iris and chamber angle,and candle waxy exudates in the fundus. Repeated systemic and laboratory examinations were negative except for negative tuberculin test. Her left eye received vitreous surgery for epiretinal membrane 45months after her initial visit. Findings:Epitheloid granuloma including giant cells were histopathologically present in the vitreous tissue adherent to the epiretinal membrane,leading to the diagnosis of sarcoidosis. Conclusion:Histopathological studies of intraocular tissue may lead to definitive diagnosis of sarcoidosis even when systemic findings fail to satisfy accepted diagnostic criteria.


Copyright © 2003, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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