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Sarcoidosis and neuromyelitis optica in a patient with optic neuritis - a case report

Foster, MA; Collorone, S; Palace, J; Acheson, J; Toosy, AT; (2021) Sarcoidosis and neuromyelitis optica in a patient with optic neuritis - a case report. Annals of Clinical and Translational Neurology 10.1002/acn3.51413. (In press). Green open access

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Abstract

We present a case of atypical recurrent optic neuritis. A man in his 50s presented with right optic neuritis and profound visual loss, associated with elevated inflammatory markers. Lymph-node biopsy was consistent with sarcoidosis. Aquaporin-4 antibodies were also present. Three months following corticosteroid treatment, his right optic neuritis relapsed, again with raised inflammatory markers. He was started on azathioprine and prednisolone with good effect. A dual diagnosis of sarcoidosis and neuromyelitis optica with aquaporin-4 antibodies is very rare. Long-term immunosuppression is required. The case highlights the importance of identifying the features and cause of atypical optic neuritis.

Type: Article
Title: Sarcoidosis and neuromyelitis optica in a patient with optic neuritis - a case report
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/acn3.51413
Publisher version: http://dx.doi.org/10.1002/acn3.51413
Language: English
Additional information: ª 2021 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neuroinflammation
URI: https://discovery.ucl.ac.uk/id/eprint/10130372
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