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- Title
Granulomatosis with Polyangiitis Presenting as a Choroidal Tumor.
- Authors
Masuda, Taro; Izumi, Yasumori; Takeshita, Hayato; Kawahara, Chieko; Tsuji, Yoshika; Kurohama, Hirokazu; Iwanaga, Nozomi; Inamoto, Miwako; Kase, Keiichi; Ito, Masahiro; Kawakami, Atsushi; Migita, Kiyosi
- Abstract
Granulomatosis with polyangiitis (GPA) sometimes involves the eye orbit; however, choroidal involvements in GPA had been rarely reported. We report a rare case presenting with a choroidal mass in an 83-year-old Japanese woman who presented with left eye pain. Diagnostic biopsy revealed necrotizing vasculitis with infiltrates of inflammatory cells. Diagnosis was localized granulomatosis with polyangiitis. Combined treatments with corticosteroid plus azathioprine resolved the choroidal mass region. Although treatment with corticosteroid and immunosuppressive agents improves the prognosis of the disease, ocular morbidity is still well recognized. Clinicians should consider a differential diagnosis of GPA in patients with inflammatory choroidal tumors.
- Subjects
GRANULOMATOSIS with polyangiitis; BIOPSY; NECROTIZING fasciitis; IMMUNOSUPPRESSIVE agents; TUMORS
- Publication
Case Reports in Rheumatology, 2015, Vol 2015, p1
- ISSN
2090-6889
- Publication type
Case Study
- DOI
10.1155/2015/271823