CASE REPORT |
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Year : 2020 | Volume
: 68
| Issue : 9 | Page : 2040-2043 |
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Coats-like response in tubercular subretinal abscess masquerading as melanoma as the initial manifestation of miliary tuberculosis
Nivedita Nair1, Sreelakshmi Kummamuri2, S Sudharshan1, Vikas Khetan3
1 Department of Uvea, Sankara Nethralaya, Chennai, Tamil Nadu, India 2 Department of Vitreoretina, Sankara Nethralaya, Chennai, Tamil Nadu, India 3 Department of Ocular Oncology and Vitreoretina, Sankara Nethralaya, Chennai, Tamil Nadu, India
Correspondence Address:
Dr. S Sudharshan Sankara Nethralaya, 41, College Road, Chennai - 600 006, Tamil Nadu India
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/ijo.IJO_968_20
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Ocular neoplasia can masquerade as an inflammatory condition and vice-versa, which if untreated, can lead to loss of vision or even life. We present a young immunocompetent adult male referred to us as choroidal melanoma. He had a large atypical choroidal mass and exudative retinal detachment. He had no systemic complaints and ocular lesions were the first manifestation of disseminated disease. Aqueous polymerase chain reaction for Mycobacterium tuberculosis (MTB) was negative, but Mantoux, chest radiology, acid-fast bacilli, and caseation necrosis on pleural nodule histopathology confirmed tuberculosis (TB). While on antitubercular therapy, a rare “Coats'-like response” was noted which eventually resolved completely with treatment.
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