Abdominal sarcoidosis presenting as bilateral simultaneous optic disc granulomas

ABSTRACT

A 24-year-old male presents with diminution of vision in both eyes of acute onset with floaters. He has a history of fever of unknown origin. Examination revealed bilateral optic disc granulomas with mild vitritis. Serum angiotensin converting enzyme was found to be elevated and tuberculin skin test was negative. Computed tomography scan of the chest showed clear lung fields with no hilar lymphadenopathy but mildly enlarged pretracheal lymph nodes. Computed tomography scan of the abdomen revealed multiple enlarged abdominal lymph nodes with hepatosplenomegaly, and ultrasound-guided biopsy of one of these lymph nodes showed chronic granulomatous inflammation consistent with sarcoidosis. Immunosuppressive therapy resulted in resolution of ocular inflammation with no recurrence.

KEYWORDS:

• Abdominal lymphadenopathy
• abdominal sarcoidosis
• bilateral simultaneous optic disc granulomas
• immunosuppression
• neuro-ophthalmological sarcoidosis

Ethical approval

This report was approved by Cairo University Research Ethics Committee and followed the tenets of the Declaration of Helsinki.

Declaration of interest

The authors declare that there are no conflicts of interest. The authors alone are responsible for the writing and content of the article.

Additional information

Funding

None.