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LETTER TO THE EDITOR
Ahead of print publication  

Serpiginoid choroiditis, tuberculosis, and sarcoidosis


1 Sanitation 1 Medical Academic Center, Bangkok, Thailand
2 Department of Biological Science, Joseph Ayobabalola University, Ikeji-Arakeji, Nigeria

Date of Web Publication04-Jun-2019

Correspondence Address:
Beuy Joob,
Sanitation 1 Medical Academic Center, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjo.tjo_142_18



How to cite this URL:
Joob B, Wiwanitkit V. Serpiginoid choroiditis, tuberculosis, and sarcoidosis. Taiwan J Ophthalmol [Epub ahead of print] [cited 2019 Jun 15]. Available from: http://www.e-tjo.org/preprintarticle.asp?id=259712



Dear Editor,

We read the publication on “Serpiginoid choroiditis associated with presumed ocular tuberculosis” with great interest.[1] Wang et al. noted that “The clinical presentation, interferon-gamma release assay test, and clinical response to antituberculosis therapy can support a presumed diagnosis of tubercular uveitis[1]” and also mentioned for the differential diagnosis for sarcoidosis. We would like to share an idea on this report. First, the case might be tuberculosis, but it can also be the case of sarcoidosis or the concurrence between two conditions. Regarding sarcoidosis, the use of broad-spectrum antimycobacterial can also result in clinical improvement.[2] The positive QuantiFERON-TB Gold test might be either a false positive or a true positive result for tuberculosis, but the infectious site might not be intraocular site (there is no positive confirmation from molecular diagnosis[1]). Hence, the exact diagnosis of the present case is still inconclusive.

Financial support and sponsorship

Nil.

Conflicts of interest

The authors declare that there are no conflicts of interests of this paper.



 
  References Top

1.
Wang TA, Lo KJ, Hwang DK, Chen SJ. Serpiginoid choroiditis associated with presumed ocular tuberculosis. Taiwan J Ophthalmol [Epub ahead of print]. Available from: http://www.e-tjo.org/preprintarticle.asp?id=232965. [Last cited on 2019 Apr 11].   Back to cited text no. 1
    
2.
Drake WP, Richmond BW, Oswald-Richter K, Yu C, Isom JM, Worrell JA, et al. Effects of broad-spectrum antimycobacterial therapy on chronic pulmonary sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis 2013;30:201-11.  Back to cited text no. 2
    




 

 
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