The hidden salmon patch: ocular lymphoma mistaken as Vogt Koyanagi disease

Ocular inflammation from various causes may have similar clinical presentation thus careful clinical evaluations are mandatory particularly when the disease appear to be resistant to treatment. This paper reports a case of ocular lymphoma which was initially treated as Vogt Koyanagi Harada disease a...

Full description

Bibliographic Details
Main Authors:	Nazima SA, Muhaya M, Kok, HS, Hazlita Mohd Isa
Format:	Article
Language:	English
Published:	Faculty of Medicine, UKM Medical Centre 2016
Online Access:	http://journalarticle.ukm.my/9836/ http://journalarticle.ukm.my/9836/ http://journalarticle.ukm.my/9836/1/10._Nazima_et_al..pdf

id	ukm-9836
recordtype	eprints
spelling	ukm-98362016-12-14T06:50:59Z http://journalarticle.ukm.my/9836/ The hidden salmon patch: ocular lymphoma mistaken as Vogt Koyanagi disease Nazima SA, Muhaya M, Kok, HS Hazlita Mohd Isa, Ocular inflammation from various causes may have similar clinical presentation thus careful clinical evaluations are mandatory particularly when the disease appear to be resistant to treatment. This paper reports a case of ocular lymphoma which was initially treated as Vogt Koyanagi Harada disease at a different centre. A 65-year-old Sudanese man complained of gradual worsening left eye vision. Careful ocular and slit lamp examination revealed a conjunctival lesion with choroidal infiltration as well as exudative retinal detachment. Computed tomography scan (CT scan) showed left eye axial proptosis, and a homogenous enhancing mass at the posterior coat of the globe. Tissue biopsy of the conjunctival lesion revealed marginal Zone B cell (MALT type), low grade, non-Hodgkin’s lymphoma. AS the ocular signs and symptoms progressed, chemotherapy was initiated. The proptosis, exudative retinal detachment, disc hyperemia and swelling improved after chemotherapy. The post treatment CT scan showed reduction of the posterior ocular coat mass. The possibility of malignant lymphoma should be considered in patients with resistant uveitis despite administration of corticosteroid. Ocular lymphoma is an indolent tumour with good prognosis. Careful ocular examination, adequate imaging studies followed by early surgical biopsy will contribute to early diagnosis. Faculty of Medicine, UKM Medical Centre 2016 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/9836/1/10._Nazima_et_al..pdf Nazima SA, and Muhaya M, and Kok, HS and Hazlita Mohd Isa, (2016) The hidden salmon patch: ocular lymphoma mistaken as Vogt Koyanagi disease. Journal of Surgical Academia, 6 (1). pp. 46-50. ISSN 2231-7481 http://jsurgacad.com/toc/6/1
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	Ocular inflammation from various causes may have similar clinical presentation thus careful clinical evaluations are mandatory particularly when the disease appear to be resistant to treatment. This paper reports a case of ocular lymphoma which was initially treated as Vogt Koyanagi Harada disease at a different centre. A 65-year-old Sudanese man complained of gradual worsening left eye vision. Careful ocular and slit lamp examination revealed a conjunctival lesion with choroidal infiltration as well as exudative retinal detachment. Computed tomography scan (CT scan) showed left eye axial proptosis, and a homogenous enhancing mass at the posterior coat of the globe. Tissue biopsy of the conjunctival lesion revealed marginal Zone B cell (MALT type), low grade, non-Hodgkin’s lymphoma. AS the ocular signs and symptoms progressed, chemotherapy was initiated. The proptosis, exudative retinal detachment, disc hyperemia and swelling improved after chemotherapy. The post treatment CT scan showed reduction of the posterior ocular coat mass. The possibility of malignant lymphoma should be considered in patients with resistant uveitis despite administration of corticosteroid. Ocular lymphoma is an indolent tumour with good prognosis. Careful ocular examination, adequate imaging studies followed by early surgical biopsy will contribute to early diagnosis.
format	Article
author	Nazima SA, Muhaya M, Kok, HS Hazlita Mohd Isa,
spellingShingle	Nazima SA, Muhaya M, Kok, HS Hazlita Mohd Isa, The hidden salmon patch: ocular lymphoma mistaken as Vogt Koyanagi disease
author_facet	Nazima SA, Muhaya M, Kok, HS Hazlita Mohd Isa,
author_sort	Nazima SA,
title	The hidden salmon patch: ocular lymphoma mistaken as Vogt Koyanagi disease
title_short	The hidden salmon patch: ocular lymphoma mistaken as Vogt Koyanagi disease
title_full	The hidden salmon patch: ocular lymphoma mistaken as Vogt Koyanagi disease
title_fullStr	The hidden salmon patch: ocular lymphoma mistaken as Vogt Koyanagi disease
title_full_unstemmed	The hidden salmon patch: ocular lymphoma mistaken as Vogt Koyanagi disease
title_sort	hidden salmon patch: ocular lymphoma mistaken as vogt koyanagi disease
publisher	Faculty of Medicine, UKM Medical Centre
publishDate	2016
url	http://journalarticle.ukm.my/9836/ http://journalarticle.ukm.my/9836/ http://journalarticle.ukm.my/9836/1/10._Nazima_et_al..pdf
first_indexed	2023-09-18T19:55:50Z
last_indexed	2023-09-18T19:55:50Z
_version_	1777406522823802880

The hidden salmon patch: ocular lymphoma mistaken as Vogt Koyanagi disease

Similar Items