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Sclerochoroidal granuloma in Wegener's granulomatosis simulating a uveal melanoma
P Janknecht1, H Mittelviefhaus, K U Löffler
1Department of Ophthalmology, University of Freiburg, Germany.
Background:
It is known that Wegener's granulomatosis may affect the eye, but macroscopically visible granulomas in patients with this condition have not yet been described.
Methods:
Results of clinical, ultrasound, and histologic examination of a patient with Wegener's granulomatosis are presented.
Results:
A sclerochoroidal granuloma in this patient simulated an uveal melanoma. It was not possible to unequivocally differentiate the lesion from a uveal melanoma on sonographic examination, but histologic examination confirmed the diagnosis of sclerochoroidal granuloma.
Conclusion:
Macroscopically visible sclerochoroidal granuloma is another facet of Wegener's granulomatosis, and in some cases may be mistaken for uveal melanoma.