Birdshot retinochoroidopathy masquerading as intraocular lymphoma.

Elisabetta Miserocchi, Giulio Modorati, Umberto De Benedetto, Annalisa Colucci, Francesco Bandello

Ocular immunology and inflammation 2012 Aug

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We present a case of a patient with bilateral posterior uveitis HLA-A29 positive, masquerading intraocular lymphoma. A 43 year-old woman presented with bilateral vitritis and chorioretinal lesions compatible with "birdshot lesions". The patient was initially diagnosed with birdshot retinochoroidopathy and later on, during follow up, the occurrence of neurologic involvement and the lack of response to systemic immunosuppression led us to re-evaluate the diagnosis. A definite diagnosis of intraocular lymphoma with central nervous system involvement was made. This case is presented to highlight the importance of careful follow-up of patients with chronic uveitis and re-evaluation of systemic symptoms and signs, in particular when ocular findings are highly suggestive for masquerade syndrome.

Citation

Elisabetta Miserocchi, Giulio Modorati, Umberto De Benedetto, Annalisa Colucci, Francesco Bandello. Birdshot retinochoroidopathy masquerading as intraocular lymphoma. Ocular immunology and inflammation. 2012 Aug;20(4):306-8