Coats-like response in tubercular subretinal abscess masquerading as melanoma as the initial manifestation of miliary tuberculosis
Autor: | Nivedita Nair, Sreelakshmi Kummamuri, S Sudharshan, Vikas Khetan |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: | |
Zdroj: | Indian Journal of Ophthalmology, Vol 68, Iss 9, Pp 2040-2043 (2020) |
Druh dokumentu: | article |
ISSN: | 0301-4738 1998-3689 |
DOI: | 10.4103/ijo.IJO_968_20 |
Popis: | Ocular neoplasia can masquerade as an inflammatory condition and vice-versa, which if untreated, can lead to loss of vision or even life. We present a young immunocompetent adult male referred to us as choroidal melanoma. He had a large atypical choroidal mass and exudative retinal detachment. He had no systemic complaints and ocular lesions were the first manifestation of disseminated disease. Aqueous polymerase chain reaction for Mycobacterium tuberculosis (MTB) was negative, but Mantoux, chest radiology, acid-fast bacilli, and caseation necrosis on pleural nodule histopathology confirmed tuberculosis (TB). While on antitubercular therapy, a rare “Coats'-like response” was noted which eventually resolved completely with treatment. |
Databáze: | Directory of Open Access Journals |
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