INTRODUCTION: We report the case of a Caribbean @entity1 with an atypical presentation of bilateral @entity989 . @entity1 AND METHODS: A 57-year-old @entity1 , with @entity101 and @entity2175 , was referred to our center for a @entity1018 in the right eye to hand motions. Ophthalmic examination revealed only right @entity1829 . Brain magnetic resonance imaging was normal. Laboratory examination revealed no signs of @entity32 . A right non-arteritic acute @entity6810 was first suspected. One week later, the visual acuity (VA) in the left eye dropped from 10/10 to 5/10 with the appearance of @entity1829 on fundoscopic exam. This bilaterality led us to begin intravenous @entity288 followed by transition to oral. This improved the left eye VA to 10/10. Numerous bilateral white patches in the posterior pole appeared secondarily, hypofluorescent in the intermediate and late phases of angiography. RESULTS: The research of the etiology of @entity1596 showed a positive tuberculin skin test without any prior vaccination. The vitreous humor sample was negative on direct examination, by culture and by polymerase chain reaction (PCR). DISCUSSION: Systemic corticosteroid therapy for @entity24181 is not well described. It may theoretically treat the inflammatory portion of the lesions due to @entity56 as in meningeal and pericardial involvement. CONCLUSION: The clinical spectrum of @entity24181 is wide and the diagnosis should be considered in any intraocular inflammatory condition of a chronic or acute recurrent nature, whether or not responsive to @entity230 .

Steroid treatment in XXXX : A double-edged sword?

@entity1 :: ('9606', 'Species') :: ['woman', 'patient', 'PATIENT'] @entity2175 :: ('MESH:D003924', 'Disease') :: ['non-insulin dependent diabetes'] @entity1018 :: ('MESH:D054062', 'Disease') :: ['sudden loss of vision'] @entity32 :: ('MESH:D007249', 'Disease') :: ['inflammation'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity6810 :: ('MESH:D018917', 'Disease') :: ['anterior ischemic optic neuropathy'] @entity1596 :: ('MESH:D014605', 'Disease') :: ['uveitis'] @entity1829 :: ('MESH:D010211', 'Disease') :: ['papilledema'] @entity24181 :: ('MESH:D014392', 'Disease') :: ['ocular tuberculosis'] @entity56 :: ('MESH:D004342', 'Disease') :: ['type  IV hypersensitivity reaction'] @entity989 :: ('MESH:D012164', 'Disease') :: ['tuberculous chorioretinopathy'] @entity230 :: ('MESH:D013256', 'Chemical') :: ['steroids'] @entity288 :: ('MESH:D000305', 'Chemical') :: ['corticosteroids']
@entity24181 :: (MESH:D014392,Disease) :: ['ocular tuberculosis']
