罕见的结节病表现为双侧虹膜睫状体炎

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摘要

背景:一例急性发作的双侧虹膜睫状体炎是在一例先前未诊断和无症状的结节病病例中报告的。病例:一名39岁男性,右眼疼痛发红,持续一天。裂隙灯检查显示眼部肉芽肿性虹膜睫状体炎伴360度后粘连。在调查病因的同时,在首次出现的第四天,左眼也出现了类似的肉芽肿性虹膜睫状体炎,症状仅在一夜之间出现。所有实验室检查、放射学评估和活检最终诊断为结节病。结论:结节病是一种病因不明的多系统肉芽肿性疾病,可能表现为急性葡萄膜炎或慢性形式。由于没有确切的患病率研究,因此应将其纳入尼泊尔所有葡萄膜炎病例的鉴别诊断中。
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Rare Case of Sarcoidosis Presenting As Bilateral Iridocyclitis
Background: A case of acute onset bilateral iridocyclitis is reported in a previously undiagnosed and asymptomatic case of sarcoidosis. Case: A 39 years old male presented with pain and redness in the right eye for one day. Slit lamp examination revealed granulomatous iridocyclitis in the eye with three hundred sixty degree posterior synechiae. While under investigation for the cause, on fourth day of initial presentation, left eye also developed similar granulomatous iridocyclitis, being symptomatic only overnight. All laboratory investigations, radiological evaluation and biopsy led to the final diagnosis of sarcoidosis. Conclusion: Sarcoidosis is a multisystem granulomatous disorder of unknown etiology which may present as an acute uveitis or chronic form. As definite prevalence studies are not available, it should be considered in the differential diagnosis of all cases of uveitis in Nepal.
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