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  • Title: Scleral nodule and bilateral disc edema as a presenting manifestation of systemic sarcoidosis.
    Author: Babu K, Kini R, Mehta R.
    Journal: Ocul Immunol Inflamm; 2010 Jun; 18(3):158-61. PubMed ID: 20482388.
    Abstract:
    AIM: To report a rare presentation of a large scleral nodule with bilateral disc edema as the initial manifestation of sarcoidosis. MATERIALS AND METHODS: Retrospective interventional case report. RESULTS: A 58-year-old woman was referred for evaluation of nodular scleritis. Slit-lamp examination showed a large scleral nodule superiorly in the right eye. Fundus showed bilateral disc edema. High-resolution computed tomography of the thorax showed mediastinal and bilateral hilar lymphadenopathy. Transbronchial lymph node biopsy showed epitheloid granulomas. The scleral nodule and disc edema resolved at 6 weeks with oral steroids. CONCLUSIONS: This case highlights a rare presentation of a large scleral nodule with bilateral disc edema as the initial manifestation of systemic sarcoidosis.
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