Page 140 - A Magyar Szemorvostársaság 2023. évi kongresszusa - Tudományos program és előadáskivonatok

Skin lesions observed during the examination, neurological symptoms, and significant visual
field defects raised suspicion of sarcoidosis. Detailed ophthalmologic examinations,
fluorescein and indocyanine green angiography, laboratory tests, orbit and head MR imaging,
skin biopsy and thoracic imaging revealed cutaneous, pulmonary and neurological signs of
sarcoidosis. We initiated steroid-sparing immunosuppressive therapy due to fluctuating blood
sugar levels and steroid responder glaucoma, following international recommendations.

Conclusion: Inspection of the patient, detailed exploratory anamnesis, thorough
ophthalmologic examinations and systematic diagnostic steps with interdisciplinary
collaboration led to a diagnosis of systemic sarcoidosis and to the introduction of adequate
systemic treatment considering the different organ involvements.