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Sarcoidosis presenting as optic neuritis with vision loss
Ryosuke Kataoka1, Yoshiro Kai1, Hiroya Ohara2
1Department of Respiratory Medicine Minami-Nara General Medical Center Nara Japan.
Respirology Case Reports
|February 27, 2023
Summary
Neurosarcoidosis, a rare complication of sarcoidosis, can cause optic neuritis and vision loss. Early diagnosis and treatment are crucial for potential vision recovery.
Area of Science:
- Neurology
- Ophthalmology
- Rheumatology
Background:
- Sarcoidosis is a multisystem inflammatory disease.
- Neurosarcoidosis is a rare but serious complication.
- Optic neuritis is an unusual presentation of neurosarcoidosis.
Observation:
- A 51-year-old man presented with vision loss in his right eye.
- MRI revealed optic nerve enlargement; CT showed lymphadenopathy and skin nodules.
- Biopsy confirmed noncaseating granulomas, consistent with sarcoidosis.
Findings:
- Elevated serum angiotensin-converting enzyme (ACE) levels.
- Diagnosis of neurosarcoidosis with optic neuritis.
- Partial vision improvement after high-dose corticosteroids.
Implications:
- Sarcoidosis should be considered in the differential diagnosis of optic neuritis.
- Prompt diagnosis and treatment can lead to improved visual outcomes.
- Highlights the importance of a multidisciplinary approach in managing complex cases.
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