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Inflammatory optic disc edema due to S arcoidosis mimicking malignant hypertension
Author(s) -
Sharma Aman,
Sagar Vinay,
Singla Veenu,
Sharma Kusum,
Singh Ramandeep,
Singh Surjit,
Gupta Amod
Publication year - 2018
Publication title -
international journal of rheumatic diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.795
H-Index - 41
eISSN - 1756-185X
pISSN - 1756-1841
DOI - 10.1111/1756-185x.12507
Subject(s) - medicine , sarcoidosis , uveitis , edema , peripheral edema , presentation (obstetrics) , biopsy , ocular hypertension , blood pressure , papilledema , pathology , ophthalmology , intraocular pressure , dermatology , surgery , radiology , adverse effect
A common ocular manifestation of sarcoidosis is anterior uveitis. Posterior uveitis is uncommon and optic disc edema is rare. We report one such case in which the initial presentation was mimicking malignant hypertension as the patient had a recent record of high blood pressure. However, the painful progressive vision loss due to optic disc edema, along with anterior uveitis, and histological proof of non‐caseating granulomas on transbronchial lung biopsy clinched the diagnosis of ocular sarcoidosis. There was complete resolution of signs and symptoms with institution of steroids. There was also probable cardiac involvement. This case highlights the fact that all disc edemas in a diabetic and hypertensive patients is not just due to malignant hypertension, even if there is a recent history of elevated blood pressure.