Diagnostic difficulties of ocular sarcoidosis Keiko Akita 1 , Chiemi Yaguchi 1 , Kunitoshi Ohara 1 , Arata Azuma 2 , Takuo Takahashi 2 , Shinji Abe 2 , Shoji Kudo 2 1Dept of Ophthalmol, Nippon Med Sch 24th Dept of Internal Med, Nippon Med Sch pp.1139-1141
Published Date 1998/6/15
DOI https://doi.org/10.11477/mf.1410905936
  • Abstract
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We reviewed a consecutive series of 25 cases diagnosed as suspected ocular sarcoidosis seen during 1996. According to the diagnostic criteria in Japan, 11 cases were diagnosed as definitive sarcoidosis and 14 cases as suspected sarcoidosis on systemic findings. There was no difference regarding the ocular features and their frequencies. Both groups showed similar elevations of CD4/CD8 and lymphocytes by bronchoalveolar lavage. The suspected group showed significantly lower incidence of serum angiotensin converting enzyme (ACE) and chest X-ray/CT findings. The findings show that patients with ocular sarcoidosis may manifest incomplete systemic features of sarcoidosis. We advocate reappraisal of diagnostic criteria for ocular sarcoidosis.

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