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Progressive Subretinal Fibrosis and Uveitis Associated with Hodgkin Lymphoma
Daniella Socci da Costa1,2, Remo Turchetti Moraes1, Moyses Eduardo Zajdenweber1
1Instituto Brasileiro de Oftalmologia (IBOL), Rio de Janeiro, Brazil.
Introduction:
The aim of this study was to report an unusual case of a presumed paraneoplastic syndrome associated with Hodgkin lymphoma (HL).
Case Presentation:
An otherwise healthy 18-year-old male patient presented with progressive bilateral visual loss over a 2-month period. Fundus examination revealed multiple yellow-whitish lesions in both eyes, resembling multifocal choroiditis. Over time, the patient developed subretinal fibrosis and a palpable cervical lymph node, which was biopsied, confirming the diagnosis of HL.
Conclusion:
Ocular involvement in HL is exceedingly rare and may manifest with a wide range of signs and symptoms. Paraneoplastic inflammatory syndromes should be considered by ophthalmologists in patients with atypical bilateral posterior uveitis.
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