Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Escleritis nodular posterior gigante compatible con sarcoidosis ocular simulando un melanoma de la coroides [Giant nodular posterior scleritis compatible with ocular sarcoidosis simulating choroidal melanoma]
Archivos de la Sociedad Española de Oftalmología
Publication types: Case Reports ; English Abstract ; Journal Article
CASE REPORT: A 30-year-old man was referred to our ocular oncology service with a diagnosis of amelanotic choroidal melanoma of the left eye. The following tests were performed: ophthalmoscopy, fluorescein angiography, indocyanine green angiography, ultrasonography, magnetic resonance imaging and biopsy. DISCUSSION: The diagnosis of giant nodular posterior scleritis, as suggested by ultrasonography, was confirmed by biopsy. A comprehensive medical evaluation was performed, but no etiology was found. The histology revealed a granuloma compatible with ocular sarcoidosis. A rapid response was obtained by systemic steroid administration (1 mg/kg). Sarcoidosis continues to be a challenge in diagnosis. It is important to distinguish nodular posterior scleritis from choroidal melanoma.
Adult, Choroid Neoplasms/diagnosis, Diagnosis, Differential, Eye Diseases/complications, Eye Diseases/diagnosis, Humans, Male, Melanoma/diagnosis, Sarcoidosis/complications, Sarcoidosis/diagnosis, Scleritis/complications, Scleritis/diagnosis
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