Sarcoidosis panuveitis: A case report
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Abstract
Sarcoidosis is an idiopathic multisystem granulomatous disease. Its ocular presentations include eyelid and conjunctival nodules and uveitis, accounting for 30 to 50% of its cases. In anterior uveitis, there is local inflammation of the iris and/or ciliary body. It may manifest with mutton fat keratic precipitates, nodules in the trabecular meshwork, and Koeppe and Busacca's nodules. Regarding the intermediate form, there is primary inflammation of the ciliary body, choroid, and peripheral retina, causing vitreous blurring in snowballs and pearl necklaces, and retinal perivasculitis. In posterior, there is primary inflammation of the choroid with multiple peripheral chorioretinal damage, solitary choroidal nodule, and optic disc edema. The diagnosis is made by alterations in imaging tests and high levels of angiotensin-converting enzyme (ACE) and/or serum lysozyme, considering the exclusion of other granulomatous pathologies. This report aims to describe the diagnostic process of sarcoidosis in the face of panuveitis.
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Copyright (c) 2023 Caroline D'Agostini Oliveira, Giovana D'Agostini Oliveira, Rafael Senff Gomes, Nathalia Fengler Rodrigues , Fernando Pereira Caruso, Isabella Carvalho PagnussatAuthor(s)
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Caroline D'Agostini Oliveira
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Giovana D'Agostini Oliveira
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Rafael Senff Gomes
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Nathalia Fengler Rodrigues
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Fernando Pereira Caruso
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Isabella Carvalho Pagnussat