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Sarcoid uveitis simulating birdshot chorioretinopathy in a child
Yuksel Sullu1, Alisan Yildiran, Yurdanur Sullu
1From the Departments of *Ophthalmology, †Pediatrics, and ‡Pathology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.
Retinal Cases & Brief Reports
|November 13, 2014
Summary
Pediatric sarcoidosis can mimic birdshot chorioretinopathy with characteristic chorioretinal lesions. Early consideration of sarcoidosis is crucial for accurate diagnosis in children presenting with these findings.
Area of Science:
- Ophthalmology
- Pediatrics
- Rheumatology
Background:
- Birdshot chorioretinopathy is a rare inflammatory condition affecting the choroid and retina.
- Sarcoidosis is a multisystem inflammatory disease that can affect the eyes.
Purpose of the Study:
- To describe a pediatric case of sarcoid choroidopathy presenting with funduscopic findings similar to birdshot chorioretinopathy.
- To highlight the importance of considering sarcoidosis in the differential diagnosis of pediatric chorioretinal lesions.
Main Methods:
- Observational case report.
- Review of clinical examination, laboratory findings, and histopathologic records.
- Axillary lymph node biopsy for histopathological confirmation.
Main Results:
- A 9-year-old girl presented with granulomatous anterior uveitis and widespread, creamy, oval chorioretinal lesions resembling birdshot chorioretinopathy.
- Histopathology of axillary lymph node biopsy confirmed noncaseating granulomas, consistent with sarcoidosis.
- The lesions were noted throughout the fundus, sparing the macula.
Conclusions:
- Sarcoidosis should be included in the differential diagnosis for children presenting with chorioretinal lesions that mimic birdshot chorioretinopathy.
- Prompt diagnosis and management of pediatric sarcoidosis are essential to prevent vision loss.
