Sclerochoroidal granuloma in Wegener's granulomatosis simulating a uveal melanoma.

摘要

BACKGROUND: It is known that Wegener's granulomatosis may affect the eye, but macroscopically visible granulomas in patients with this condition have not yet been described. METHODS: Results of clinical, ultrasound, and histologic examination of a patient with Wegener's granulomatosis are presented. RESULTS: A sclerochoroidal granuloma in this patient simulated an uveal melanoma. It was not possible to unequivocally differentiate the lesion from a uveal melanoma on sonographic examination, but histologic examination confirmed the diagnosis of sclerochoroidal granuloma. CONCLUSION: Macroscopically visible sclerochoroidal granuloma is another facet of Wegener's granulomatosis, and in some cases may be mistaken for uveal melanoma.