Tubercular retinal vasculitis mimicking frosted branch angiitis: a case report
Tóm tắt
Tubercular vasculitis is an important manifestation of ocular tuberculosis and this report highlights the mimicking nature of the disease with frosted branch angiitis. A patient presented with a severe form of retinal vasculitis in both eyes and a branch retinal vein occlusion in the left eye. He had a positive tuberculin skin test (TST) and a raised erythrocyte sedimentation rate (ESR) and serum angiotensin-converting enzyme (ACE) levels. Radiological investigations revealed a sub-pleural nodule and mediastinal lymph nodes, which on histopathological evaluation confirmed a granulomatous etiology. Retinal vasculitis secondary to tubercular etiology may mimic a viral vasculitis; however, a clinical suspicion with a timely diagnosis and management helps in preventing loss of vision and the eye.
Tài liệu tham khảo
Wu J, Dalal K (2012) Tuberculosis in Asia and the pacific: the role of socioeconomic status and health system development. Int J Prev Med 3(1):8–16
Sia IG, Wieland ML (2011) Current concepts in the management of tuberculosis. Mayo Clin Proc 86(4):348–361
Gupta A, Sharma A, Bansal R, Sharma K (2015) Classification of intraocular tuberculosis. Ocul Immunol Inflamm 23(1):7–13
Gupta V, Gupta A, Rao NA (2007) Intraocular tuberculosis—an update. Surv Ophthalmol 52(6):561–587
Sharma A, Thapa B, Lavaju P (2011) Ocular tuberculosis: an update. Nepal J Ophthalmol 3(5):52–67
Karia N (2010) Retinal vein occlusion: pathophysiology and treatment options. Clin Ophthalmol (Auckland, NZ) 4:809–816
Fong AC, Schatz H (1993) Central retinal vein occlusion in young adults. Surv Ophthalmol 37(6):393–417
Ito Y, Nakano M, Kyu N, Takeuchi M (1976) Frosted branch angiitis in a child. Jpn J Ophthalmol 30:797–803
Watanabe YO, Takeda NO, Adachi-Usami EM (1987) A case of frosted branch angiitis. Br J Ophthalmol 71(7):553–558
Zhao H, Guan J, Zhou L, Zhang Q, Si Y (2012) Frosted branch angiitis in a woman with mycobacterium tuberculosis infection. Ocul Immunol Inflamm 20(3):227–229
Agarwal M, Biswas J (2008) Unilateral frosted branch angiitis in a patient with abdominal tuberculosis. Retin Cases Brief Rep 2(1):39–40
Nayak S, Acharjya B (2012) Mantoux test and its interpretation. Indian Dermatol Online J 3(1):2–6
O'Toole D, Palazzo L, Arotçarena R, Dancour A, Aubert A, Hammel P, Amaris J, Ruszniewski P (2001) Assessment of complications of EUS-guided fine-needle aspiration. Gastrointest Endosc 53(4):470–474
Asano S (2012) Granulomatous lymphadenitis. J Clin Exp Hematopathol 52(1):1–6