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Japanese

A case of Behçet disease with unilateral nodular scleritis and subretinal tumor as initial manifestations Toru Urano 1 , Chikako Taguchi 1 , Jun Sueda 1 , Kuniko Tananari 1 , Koichi Yoshimura 1 , Naofumi Hikita 1 , Ryoji Yamakawa 1 1Dept of Ophthalmol, Kurume Univ Sch of Med pp.695-699
Published Date 2002/5/15
DOI https://doi.org/10.11477/mf.1410909067
  • Abstract
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A 27-year-old female presented with hyperemia in her right eye since 5 days before. She had been diag-nosed with Behçet disease due to genital ulcer 5 years before. She had had cervical tuberculous lymphadenitis 2 years before . Her right eye showed hypopyon iritis with normal-looking fundus. Nodular scleritis developed 4 weeks later followed by hypopyon iritis. A white tumor was present in the fundus corresponding to the site of nodular scleritis. Retinal detachment was also present. We suspected fungal or tuberculous endophthalmitis. After vitreous surgery proved tfutile, her right eye was enucleated for painful phthisis bulbi 3 months after her initial visit. The white tumor was identified as choroidal abscess histopathologically. Her left eye later developed uveitis with hypopyon. She was fi-nally diagnosed with complete type of Behçet disease after aphthous ulcer and nodular erythema became manifest. Throughout the course of disease, the ocular lesions failed to respond to systemic colchicine, corticosteroid, or antitu-berculous therapy. This case illustrates that Behçet disease may show atypical ocular lesions as initial manifestations.


Copyright © 2002, 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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