[A rare manifestation of sarcoidosis].

Ophthalmologe

Klinik für Augenheilkunde, Dr.-Horst-Schmidt-Kliniken, Aukammallee 39, Wiesbaden, Germany.

Published: August 2012

This article reports the case of a 14-year-old boy who was presented in the case conference with symptoms of decreased visual acuity, scintillating scotomas and photophobia. Physical examination revealed right facial paralysis, parotid gland swelling, high fever and poor general condition. Ophthalmoscopy revealed anterior and posterior uveitis including macular edema and chorioretinal infiltrates. Angiography revealed a dense pattern of hyperfluorescent lesions and these observations resulted in the diagnosis of Heerfordt syndrome. Under systemic prednisolone therapy, symptoms were reduced and visual acuity recovered.

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http://dx.doi.org/10.1007/s00347-012-2594-zDOI Listing

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