A Case of Sarcoidosis Misdiagnosed as Tuberculosis in the Early Phase.
- Author:
Dae Young LEE
1
;
Dong Hee KIM
;
Seung Young YU
;
Hyung Woo KWAK
Author Information
1. Department of Ophthalmology, Kyung Hee University Hospital, Korea. hwkwak@khmc.or.kr
- Publication Type:Original Article
- Keywords:
Corticosteroid;
Sarcoidosis;
Tuberculosis
- MeSH:
Adult;
Anterior Chamber;
Diagnosis;
Discitis;
Female;
Humans;
Korea;
Phlebitis;
Sarcoidosis*;
Tuberculosis*
- From:Journal of the Korean Ophthalmological Society
2004;45(3):438-443
- CountryRepublic of Korea
- Language:Korean
-
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.
