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

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL

Oxford Medical Case Reports Pub Date : 2024-11-25 eCollection Date: 2024-11-01 DOI:10.1093/omcr/omae146

Mehrdad Motamed Shariati, Farid Shekarchian, Aliakbar Sabermoghaddam, Mitra Karimi Amir Abadi, Nasser Shoeibi

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引用次数: 0

Abstract

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.

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模仿恶性肿瘤的后部局部结节性巩膜炎，病例报告和临床方法。

目的：报告一名伴有脉络膜膨出、视网膜下积液和视神经头（ONH）肿胀的患者，最终确诊为局灶性结节性后巩膜炎。病例报告：一名 51 岁的男性患者 3 天前因左眼（LE）急性疼痛性视力下降来我院就诊。右眼（RE）和左眼（LE）的最佳矫正距离视力（BCDVA）分别为 20/20 和手部运动视力（HM）。左眼眼底检查显示视网膜上皮肿胀、脉络膜隆起、多处视网膜下积液和视网膜色素上皮（RPE）波纹。眼眶和脑部核磁共振成像显示，在视神经和巩膜交界处有一个球后结节性肿块，并伴有钆增强。肿瘤科和风湿科检查结果无异常。临床诊断为结节性后巩膜炎，开始口服泼尼松龙 50 毫克/千克。结论后巩膜炎是一种不常见的炎症，可能会被误诊为脉络膜肿瘤、后葡萄膜炎和眶炎。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

自引率

0.00%

发文量

125

审稿时长

19 weeks

期刊介绍： Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.