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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2022; 12(03): 330-332
DOI: 10.1055/s-0041-1736454
Case Report

An Interesting Case of Bilateral Hilar Lymphadenopathy Presented with Visual Impairment

Chandramouli MT
1   Department of Pulmonary Medicine, K S Hegde Medical Academy, Mangalore, India
,
Nandakishore Baikunje 
1   Department of Pulmonary Medicine, K S Hegde Medical Academy, Mangalore, India
,
Sunil Kumar Y.
2   Department of Pathology, K S Hegde Medical Academy, Mangalore, India
,
Subrahmanya Bhat K.
3   Department of Ophthalmology, K S Hegde Medical Academy, Mangalore, India
,
Darshan Bajaj
4   Department of Pulmonary Medicine, King George's Medical University, Lucknow, India
,
Giridhar Belur Hosmane
1   Department of Pulmonary Medicine, K S Hegde Medical Academy, Mangalore, India
› Author Affiliations Funding None.
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Abstract

Sarcoidosis is a systemic granulomatous disease of unknown etiology. It primarily affects the lungs and lymphatics; however, the presentation is not always pulmonary. Uveitis is the presenting symptom in 5% of patients, predominantly in females. Cystoid macular edema is the most important sight-threatening sequela of ocular sarcoidosis. Histopathological evidence of noncaseating epithelioid granulomas from a biopsy is the gold standard for the diagnosis of ocular sarcoidosis. Diagnosis of sarcoidosis is made by exclusion of other causes of granulomatous disease, mainly tuberculosis and fungal infection and documentation of involvement of at least one additional organ system. The authors present a case of a patient with sarcoidosis involving lungs and eyes, who had uveitis as an initial presentation.

Keywords

EBUS TBNA - granulomatous lesion - sarcoidosis - uveitis


Publication History

Article published online:
05 November 2021

© 2021. Nitte (Deemed to be University). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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