Unilateral Multifocal Choroidal Nodules as the Sole Initial Manifestation of Systemic Sarcoidosis – Diagnostic Role of PET–CT Scan

ABSTRACT

Purpose

To present a case of multifocal choroidal nodules as the sole manifestation of systemic sarcoidosis with role of PET- CT Scan.

Methods

Retrospective observational case report.

Results

A 66 -year-old male presented with blurring of vision in left eye since 2 weeks. He had no systemic complaints. On fundus examination in left eye showed three well -defined choroidal nodules inferotemporal to optic disc. A negative mantoux test, elevated serum angiotensin converting enzyme level and PET scan analysis helped to clinch the diagnosis of sarcoid uveitis. The choroidal nodules completely resolved after a course of oral corticosteroid.

Conclusion

Multifocal choroidal nodules can be the sole manifestation of systemic sarcoidosis.

KEYWORDS:

• Uveitis
• choroidal nodule
• PET–CT scan
• sarcoidosis
• multimodal imaging

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

The author(s) reported that there is no funding associated with the work featured in this article.