Abstract
Aim: We report a case of tuberculous choroidal granulomas in a patient with systemic lupus erythematosis (SLE) who developed miliary tuberculosis (TB) and bilateral granulomas while on immunosuppressive medication.Methods: The case notes of thispatient were reviewed.Results: The patient was first seen for base-line ophthalmic screening before anti-tuberculous medication was started. The patient was subsequently followed up at 2 weeks, 4 weeks and 2 months with fundal examination and photography. One choroidal granuloma was found in the right eye while another peripheral lesion involved the left eye. Both resolved in response toanti-tuberculous medication over a 2-month period with resultant chorioretinal atrophy and scarring.Conclusion: This case demonstrates the need to screen immuno-suppressed SLE patients who have miliary TB for possible eye involvement.
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Wang, JC., Chuah, G.CL. & Yap, EY. Tuberculous choroidal granulomas in a patient with systemic lupus erythematosus. Int Ophthalmol 24, 107–109 (2001). https://doi.org/10.1023/A:1016399608439
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DOI: https://doi.org/10.1023/A:1016399608439