Tubercular retinal vasculitis mimicking frosted branch angiitis: a case report

Manisha Agarwal1, Ankita Shrivastav1, Abdul Waris2
1Dr. Shroff's Charity Eye Hospital, New Delhi, India
2Institute of Ophthalmology, Aligarh Muslim University, Aligarh, India

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

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