A Case of Sarcoidosis Misdiagnosed as Tuberculosis in the Early Phase.

Lee, Dae Young; Kim, Dong Hee; Yu, Seung Young; Kwak, Hyung Woo

Original Article

Journal of the Korean Ophthalmological Society 2004;45(3):438-443.
Published online March 1, 2004.

A Case of Sarcoidosis Misdiagnosed as Tuberculosis in the Early Phase.

Dae Young Lee, Dong Hee Kim, Seung Young Yu, Hyung Woo Kwak

¹Department of Ophthalmology, Kyung Hee University Hospital, Korea. hwkwak@khmc.or.kr
²Department of Ophthalmology, Konkuk University, Chungju Hospital, Korea.

초기 결핵으로 오인된 유육종증(Sarcoidosis) 1예

이대영 ( Lee Dae Yeong ) , 김동희 ( Kim Dong Hui ) , 유승영 ( Yu Seung Yeong ) , 곽형우 ( Gwag Hyeong U )

Abstract

PURPOSE
Sarcoidosis is a multsystem granulomatous disorder of an unknown etiology. In the early phase, sarcoidosis is clinically similar to the tuberculosis. In the Korea, few case have been reported. We experienced a case of sarcoidosis that was diagnosed with an ocular examination and corresponded with a systemic investigation. We report a case of sarcoidosis. METHODS: The authors experienced a case of sarcoidosis in a 33-year-old female who was given an incorrect diagnosis of tuberculosis in the early phase. The ocular examination revealed an anterior chamber cell and flare, posterior synechia, periphlebitis, and discitis. A systemic investigation yielded an increase in ACE (angiotensin converting enzyme) and an abnormal 67-Gallium-scintigraphy. RESULTS: The antituberculosis agents were stopped and the patient was started on systemic steroid, prednisolon 60mg once daily for 4weeks, which was slowly tapered off over subsequent 8 weeks. Good results were obtained.

Key Words: Corticosteroid;Sarcoidosis;Tuberculosis