Presumed Choroidal Granuloma Annulare Mimicking Choroidal Lymphoma

Lauren A. Dalvin; Steven D. Maxfield; Diva R. Salomão; Jose S Pulido

doi:10.3928/23258160-20190401-18

Presumed Choroidal Granuloma Annulare Mimicking Choroidal Lymphoma

Lauren A. Dalvin, Steven D. Maxfield, Diva R. Salomão, Jose S Pulido

Ophthalmology

Research output: Contribution to journal › Article › peer-review

Abstract

A 71-year-old white male presented with unilateral trace vitreous cell and hypopigmented choroidal lesions, corresponding to hyporeflective areas on optical coherence tomography (OCT). The lesions grew slowly during a period of 2.5 years, but the patient remained asymptomatic. Cutaneous biopsy from the left forearm confirmed granuloma annulare. Given an otherwise unrevealing workup for infectious, inflammatory, and neoplastic processes, the choroidal lesions were considered to be a manifestation of the same disease process. Treatment consisted of posterior sub-Tenon's triamcinolone. After 6 weeks, the lesions appeared atrophic on funduscopy with resolution on OCT. Examination remained stable with no growth or recurrence after 4 months. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:e128-e132.].

Original language	English (US)
Pages (from-to)	e128-e132
Journal	Ophthalmic surgery, lasers & imaging retina
Volume	50
Issue number	4
DOIs	https://doi.org/10.3928/23258160-20190401-18
State	Published - Apr 1 2019

ASJC Scopus subject areas

Surgery
Ophthalmology

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title = "Presumed Choroidal Granuloma Annulare Mimicking Choroidal Lymphoma",

abstract = "A 71-year-old white male presented with unilateral trace vitreous cell and hypopigmented choroidal lesions, corresponding to hyporeflective areas on optical coherence tomography (OCT). The lesions grew slowly during a period of 2.5 years, but the patient remained asymptomatic. Cutaneous biopsy from the left forearm confirmed granuloma annulare. Given an otherwise unrevealing workup for infectious, inflammatory, and neoplastic processes, the choroidal lesions were considered to be a manifestation of the same disease process. Treatment consisted of posterior sub-Tenon's triamcinolone. After 6 weeks, the lesions appeared atrophic on funduscopy with resolution on OCT. Examination remained stable with no growth or recurrence after 4 months. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:e128-e132.].",

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AU - Maxfield, Steven D.

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AU - Pulido, Jose S

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AB - A 71-year-old white male presented with unilateral trace vitreous cell and hypopigmented choroidal lesions, corresponding to hyporeflective areas on optical coherence tomography (OCT). The lesions grew slowly during a period of 2.5 years, but the patient remained asymptomatic. Cutaneous biopsy from the left forearm confirmed granuloma annulare. Given an otherwise unrevealing workup for infectious, inflammatory, and neoplastic processes, the choroidal lesions were considered to be a manifestation of the same disease process. Treatment consisted of posterior sub-Tenon's triamcinolone. After 6 weeks, the lesions appeared atrophic on funduscopy with resolution on OCT. Examination remained stable with no growth or recurrence after 4 months. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:e128-e132.].

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