Posterior localized nodular scleritis mimicking malignancy, a case report and clinical approach.

Autor:	Motamed Shariati M; Eye Research Center, Mashhad University of Medical Sciences, Khatam Al-Anbia Eye Hospital, Gharani Boulevard, Mashhad, Iran., Shekarchian F; Eye Research Center, Mashhad University of Medical Sciences, Khatam Al-Anbia Eye Hospital, Gharani Boulevard, Mashhad, Iran., Sabermoghaddam A; Eye Research Center, Mashhad University of Medical Sciences, Khatam Al-Anbia Eye Hospital, Gharani Boulevard, Mashhad, Iran., Abadi MKA; Eye Research Center, Mashhad University of Medical Sciences, Khatam Al-Anbia Eye Hospital, Gharani Boulevard, Mashhad, Iran., Shoeibi N; Eye Research Center, Mashhad University of Medical Sciences, Khatam Al-Anbia Eye Hospital, Gharani Boulevard, Mashhad, Iran.
Jazyk:	angličtina
Zdroj:	Oxford medical case reports [Oxf Med Case Reports] 2024 Nov 25; Vol. 2024 (11), pp. omae146. Date of Electronic Publication: 2024 Nov 25 (Print Publication: 2024).
DOI:	10.1093/omcr/omae146
Abstrakt:	Aim : To report a patient with choroidal bulging, sub-retinal fluid, and optic nerve head (ONH) swelling who was finally diagnosed with focal nodular posterior scleritis. Case report : A 51-year-old male patient presented to us with acute painful visual loss of his left eye (LE) from 3 days ago. The best-corrected distance visual acuity (BCDVA) was 20/20 and hand motion (HM) for the right eye (RE) and LE, respectively. Fundus examination of the LE showed ONH swelling, choroidal bulging, multiple patches of subretinal fluid accumulation, and retinal pigment epithelial (RPE) corrugations. Orbital and brain MRI showed a retrobulbar nodular mass with gadolinium enhancement at the optic nerve and sclera junction. Oncology and rheumatology work-ups were unremarkable. With the clinical diagnosis of nodular posterior scleritis oral prednisolone 50 mg/Kg was started. Conclusion : Posterior scleritis is an uncommon inflammatory condition that could be misdiagnosed with choroidal tumors, posterior uveitis, and orbital inflammation. Competing Interests: The authors declare that they have no competing interests. (© The Author(s) 2024. Published by Oxford University Press.)
Databáze:	MEDLINE
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