Unilateral Right Exophthalmia Revealing Systemic Sarcoidosis: A Case Report and a Review of the Literature
Background: Sarcoidosis is only revealed in 3% of the cases among Caucasians by ophthalmic damage and, when it does, it presupposes that the visceral impairment has remained silent so far. In this article, the exceptional case of a patient with systemic sarcoidosis revealed by unilateral exophthalmi...
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European Medical Journal
2019-09-01
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doaj-26b1da39ff7c47668bb099df798dd15f2020-12-16T18:22:34ZengEuropean Medical JournalEuropean Medical Journal Respiratory2054-31662019-09-0110.33590/emjresp/19-00088Unilateral Right Exophthalmia Revealing Systemic Sarcoidosis: A Case Report and a Review of the LiteratureSofia Baina0Leila Achachi1Mariam El Yahiyaoui2Mustapha El Ftouh3Laila Herrak4Pulmonology department, Faculty of Medicine and Pharmacy, Med V University, Rabat, MoroccoPulmonology department, Faculty of Medicine and Pharmacy, Med V University, Rabat, MoroccoPulmonology department, Faculty of Medicine and Pharmacy, Med V University, Rabat, MoroccoPulmonology department, Faculty of Medicine and Pharmacy, Med V University, Rabat, MoroccoPulmonology department, Faculty of Medicine and Pharmacy, Med V University, Rabat, MoroccoBackground: Sarcoidosis is only revealed in 3% of the cases among Caucasians by ophthalmic damage and, when it does, it presupposes that the visceral impairment has remained silent so far. In this article, the exceptional case of a patient with systemic sarcoidosis revealed by unilateral exophthalmia is reported. Case presentation: The patient is a female with no history of substantial pathology. She had a unilateral right exophthalmia and ptosis evolving over 3 years. A dyspnea and dry cough were also reported with a duration of 1 year. The chest X-ray and CT scan revealed bilateral hilar opacities and mediastinal lymphadenopathy that lead to the suspicion of sarcoidosis. The cerebro-orbital CT scan led to the classification of the patient’s exophthalmia as Grade I and eliminated the possibility of other aetiologies. The mediastinoscopy indicated a granulomatous adenitis with no caseous necrosis, which allowed the diagnosis of a mediastinopulmonary sarcoidosis. Discussion and conclusion: The diagnostic approach to exophthalmia should involve a systematic search for sarcoidosis, although this aetiology remains exceptional.https://www.emjreviews.com/respiratory/article/unilateral-right-exophthalmia-revealing-systemic-sarcoidosis-a-case-report-and-a-review-of-the-literature/corticotherapyexophthalmiasarcoidosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sofia Baina Leila Achachi Mariam El Yahiyaoui Mustapha El Ftouh Laila Herrak |
spellingShingle |
Sofia Baina Leila Achachi Mariam El Yahiyaoui Mustapha El Ftouh Laila Herrak Unilateral Right Exophthalmia Revealing Systemic Sarcoidosis: A Case Report and a Review of the Literature European Medical Journal Respiratory corticotherapy exophthalmia sarcoidosis |
author_facet |
Sofia Baina Leila Achachi Mariam El Yahiyaoui Mustapha El Ftouh Laila Herrak |
author_sort |
Sofia Baina |
title |
Unilateral Right Exophthalmia Revealing Systemic Sarcoidosis: A Case Report and a Review of the Literature |
title_short |
Unilateral Right Exophthalmia Revealing Systemic Sarcoidosis: A Case Report and a Review of the Literature |
title_full |
Unilateral Right Exophthalmia Revealing Systemic Sarcoidosis: A Case Report and a Review of the Literature |
title_fullStr |
Unilateral Right Exophthalmia Revealing Systemic Sarcoidosis: A Case Report and a Review of the Literature |
title_full_unstemmed |
Unilateral Right Exophthalmia Revealing Systemic Sarcoidosis: A Case Report and a Review of the Literature |
title_sort |
unilateral right exophthalmia revealing systemic sarcoidosis: a case report and a review of the literature |
publisher |
European Medical Journal |
series |
European Medical Journal Respiratory |
issn |
2054-3166 |
publishDate |
2019-09-01 |
description |
Background: Sarcoidosis is only revealed in 3% of the cases among Caucasians by ophthalmic damage and, when it does, it presupposes that the visceral impairment has remained silent so far. In this article, the exceptional case of a patient with systemic sarcoidosis revealed by unilateral exophthalmia is reported.
Case presentation: The patient is a female with no history of substantial pathology. She had a unilateral right exophthalmia and ptosis evolving over 3 years. A dyspnea and dry cough were also reported with a duration of 1 year. The chest X-ray and CT scan revealed bilateral hilar opacities and mediastinal lymphadenopathy that lead to the suspicion of sarcoidosis. The cerebro-orbital CT scan led to the classification of the patient’s exophthalmia as Grade I and eliminated the possibility of other aetiologies. The mediastinoscopy indicated a granulomatous adenitis with no caseous necrosis, which allowed the diagnosis of a mediastinopulmonary sarcoidosis.
Discussion and conclusion: The diagnostic approach to exophthalmia should involve a systematic search for sarcoidosis, although this aetiology remains exceptional. |
topic |
corticotherapy exophthalmia sarcoidosis |
url |
https://www.emjreviews.com/respiratory/article/unilateral-right-exophthalmia-revealing-systemic-sarcoidosis-a-case-report-and-a-review-of-the-literature/ |
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