Infectious and Noninfectious Granulomatosis in Patient with Multiple Sclerosis: Diagnostic Dilemmas and Followup
| Autor: | Predrag Paovic Anka Stanojevic Paovic, Jelena Paovic, Vojislav Sredovic |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
lcsh:Immunologic diseases. Allergy
medicine.medical_specialty business.industry Multiple sclerosis medicine.medical_treatment Immunology Neuritis Case Report Cataract surgery medicine.disease Pulmonary edema Dermatology Surgery Periphlebitis medicine Immunology and Allergy In patient Sarcoidosis lcsh:RC581-607 business Uveitis |
| Zdroj: | Case Reports in Immunology Case Reports in Immunology, Vol 2014 (2014) |
| ISSN: | 2090-6617 2090-6609 |
| DOI: | 10.1155/2014/876525 |
| Popis: | Patient was followed up over the course of 30 years. In 1978, after severe systemic infection followed by fever, pulmonary edema, and numerous neurological manifestations, patient was differentially diagnosed with apoplectic form of multiple sclerosis (MS), which was confirmed a year later via neurological and MRI findings. Approximately 20 years following the initial attack, sarcoidosis was diagnosed during the regular preoperative procedures required for cataract surgery. As consequence of lower immune system, infectious granulomatosis in form of pulmonary tuberculosis developed. Ophthalmological findings revealed bilateral retrobulbar neuritis (RBN) approximately six years after initial attack. This developed into total uveitis with retinal periphlebitis and anterior granulomatous uveitis—all of which are clinically similar in both MS and sarcoidosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|