Ocular sarcoidosis masked by positive IgM for toxoplasmosis

Página do item simplificado
dc.citation.issue2
dc.citation.volume80
dc.contributor.authorPeres, Murilo Bertazzo [UNIFESP]
dc.contributor.authorde Sousa, Jacqueline Martins [UNIFESP]
dc.contributor.authorNascimento, Heloisa [UNIFESP]
dc.coverageSao Paulo
dc.date.accessioned2020-07-17T14:02:42Z
dc.date.available2020-07-17T14:02:42Z
dc.date.issued2017
dc.description.abstractIgG serology for toxoplasmosis. The patient was a young female with red painful eyes, bilateral eyelid edema, and panuveitis with periphlebitis. In laboratory testing, she was IgM and IgG positive for toxoplasmosis and anergic in the tuberculin test. Topical treatment for anterior uveitis and oral antibiotics for toxoplasmosis were started, without improvement. Orbit tomography showed increased lacrimal glands bilaterally, and chest X-ray radiographic findings were consistent with pulmonary sarcoidosis, which supported the presumed ocular sarcoidosis diagnosis. The patient was treated with oral prednisone and methotrexate without antibiotics. She showed clinical and vision improvement without recurrences during the 1-year follow-up. Ocular sarcoidosis is an important differential diagnosis requiring careful anamnesis and ophthalmological examinations. Ancillary tests, such as X-ray radiography, tomography, and clinical and laboratory evaluations may help rule out other causes. Treatment mainly consists of corticosteroids and immunosuppression.en
dc.description.affiliationUniv Fed Sao Paulo, Escola Paulista Med, Dept Ophthalmol & Visual Sci, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Escola Paulista Med, Dept Ophthalmol & Visual Sci, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent125-127
dc.identifierhttps://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000200125&lng=en&nrm=iso&tlng=en
dc.identifier.citationArquivos Brasileiros De Oftalmologia. Sao Paulo, v. 80, n. 2, p. 125-127, 2017.
dc.identifier.doi10.5935/0004-2749.20170030
dc.identifier.fileS0004-27492017000200125.pdf
dc.identifier.issn0004-2749
dc.identifier.scieloS0004-27492017000200125
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54958
dc.identifier.wosWOS:000403248600014
dc.language.isoeng
dc.publisherConsel Brasil Oftalmologia
dc.relation.ispartofArquivos Brasileiros De Oftalmologia
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectSarcoidosisen
dc.subjectToxoplasmosis, ocularen
dc.subjectUveitis, posterioren
dc.subjectEye diseasesen
dc.titleOcular sarcoidosis masked by positive IgM for toxoplasmosisen
dc.typeinfo:eu-repo/semantics/article
Arquivos
Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
S0004-27492017000200125.pdf
Tamanho:
349.2 KB
Formato:
Adobe Portable Document Format
Descrição:
Baixar
Coleções
EPM - Artigos