Ocular Sarcoidosis and Tuberculosis: Coincidence or Association?
Author Information
Author(s): Lin Jiun-Yo, Sheu Shwu-Jiuan
Primary Institution: Kaohsiung Veterans General Hospital
Hypothesis
Is there a real association between ocular sarcoidosis and tuberculous lymphadenopathy?
Conclusion
Tuberculosis can occur coincidentally or in association with sarcoidosis, and continued follow-up is important for patients with ocular sarcoidosis.
Supporting Evidence
- The patient initially diagnosed with ocular sarcoidosis showed improvement after treatment.
- Six years later, she developed tuberculous lymphadenopathy without recurrence of ocular inflammation.
- Negative results for tuberculosis were found in multiple tests including culture and PCR.
Takeaway
Sometimes, people can have both eye problems from sarcoidosis and swollen lymph nodes from tuberculosis at the same time, so doctors need to keep checking on them.
Methodology
The case involved a 35-year-old female with ocular sarcoidosis diagnosed through clinical findings and imaging, followed by treatment and monitoring for tuberculosis.
Limitations
The diagnosis of sarcoidosis was based on clinical signs without histopathologic proof, and the patient refused further biopsy.
Participant Demographics
A 35-year-old female patient.
Digital Object Identifier (DOI)
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