Présentation atypique d’une sarcoïdose orbitaire

Laaguili, Jawad; Gazzaz, Miloudi; Asri, Abad Cherif El; Elkhoyaali, A.; Rharrassi, Issam; Khattabi, A. El; Oubaaz, Abdelbarre; Mostarchid, Brahim El

doi:10.1016/j.jfo.2015.01.014

Journal Français d'Ophtalmologie

2015

DOI: 10.1016/j.jfo.2015.01.014

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Présentation atypique d’une sarcoïdose orbitaire

Jawad Laaguili

Miloudi Gazzaz

Abad Cherif El Asri

et al.

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2019

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Unilateral Right Exophthalmia Revealing Systemic Sarcoidosis: A Case Report and a Review of the Literature

Bania¹

2019

EMJ Resp

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Background: Sarcoidosis is only revealed in 3% of the cases among Caucasians by ophthalmic damage and, when it does, it presupposes that the visceral impairment has remained silent so far. In this article, the exceptional case of a patient with systemic sarcoidosis revealed by unilateral exophthalmia is reported. Case presentation: The patient is a female with no history of substantial pathology. She had a unilateral right exophthalmia and ptosis evolving over 3 years. A dyspnea and dry cough were also reported with a duration of 1 year. The chest X-ray and CT scan revealed bilateral hilar opacities and mediastinal lymphadenopathy that lead to the suspicion of sarcoidosis. The cerebro-orbital CT scan led to the classification of the patient’s exophthalmia as Grade I and eliminated the possibility of other aetiologies. The mediastinoscopy indicated a granulomatous adenitis with no caseous necrosis, which allowed the diagnosis of a mediastinopulmonary sarcoidosis. Discussion and conclusion: The diagnostic approach to exophthalmia should involve a systematic search for sarcoidosis, although this aetiology remains exceptional.

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Unilateral Right Exophthalmia Revealing Systemic Sarcoidosis: A Case Report and a Review of the Literature

Bania¹

2019

EMJ Resp

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Unilateral Right Exophthalmia Revealing Systemic Sarcoidosis: A Case Report and a Review of the Literature

et al. 2019

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Présentation atypique d’une sarcoïdose orbitaire

Cited by 2 publications

References 9 publications

Unilateral Right Exophthalmia Revealing Systemic Sarcoidosis: A Case Report and a Review of the Literature

Unilateral Right Exophthalmia Revealing Systemic Sarcoidosis: A Case Report and a Review of the Literature

Unilateral Right Exophthalmia Revealing Systemic Sarcoidosis: A Case Report and a Review of the Literature

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