Inflammatory optic disc edema due to Sarcoidosis mimicking malignant hypertension. (28th October 2014)

• Record Type: Journal Article
• Authors: Sharma, Aman; Sagar, Vinay; Singla, Veenu; Sharma, Kusum; Singh, Ramandeep; Singh, Surjit; Gupta, Amod
• Is Part Of: International journal of rheumatic diseases. Volume 21:Number 4(2018)
• Page Start: 895
• Page End: 899
• Publication Date: 2014-10-28
• Subjects: cardiac sarcoidosis -- malignant hypertension -- ocular sarcoidosis -- optic disc edema -- pulmonary -- sarcoidosis; Rheumatology -- Periodicals; Rheumatology -- Asia -- Periodicals; Rheumatology -- Pacific Area -- Periodicals; Rheumatic Diseases -- Periodicals; Connective Tissue Diseases -- Periodicals; Immune System Diseases -- Periodicals; 616.723
• DOI: 10.1111/1756-185X.12507
• Languages: English
• ISSNs: 1756-1841

Abstract

Abstract: 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.