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[Choroidal white dots and sarcoidosis].
B Dufay-Dupar1, G Soubrane, N Ortonne
1Service d'Ophtalmologie Universitaire de Créteil V-Paris XII. avicenne5@voila.fr
Journal Francais D'Ophtalmologie
|November 23, 2006
Summary
Sarcoidosis, a multisystemic disease, can present with rare posterior segment ocular manifestations like white choroidal dots. This case highlights the importance of considering sarcoidosis in patients with these specific eye findings and kidney issues.
Area of Science:
- Ophthalmology
- Nephrology
- Dermatology
Background:
- Sarcoidosis is a multisystemic inflammatory disease characterized by noncaseating granulomas.
- Ocular involvement occurs in a significant portion of sarcoidosis patients, but posterior segment disease is rare, affecting only 5% of cases.
Observation:
- A 45-year-old Caucasian patient presented with a skin rash and was found to have bilateral white choroidal dots on funduscopic examination.
- The patient also exhibited signs of kidney insufficiency, prompting further investigation.
Findings:
- Biopsies of the kidney and skin confirmed the diagnosis of sarcoidosis.
- The clinical presentation included a rare manifestation of posterior segment sarcoidosis.
Implications:
- This case underscores the importance of considering sarcoidosis in the differential diagnosis of patients presenting with white choroidal dots, especially when accompanied by systemic symptoms like kidney insufficiency.
- Early recognition of posterior segment sarcoidosis can lead to timely diagnosis and management, potentially preventing vision loss.
