Interferon-induced sarcoidosis with uveitis as the initial symptom: a case report and review of the literature

Abstract Background In recent years, numerous studies have reported the development or exacerbation of sarcoidosis due to interferon therapy. However, ocular lesions rarely present as initial symptoms. Herein, we describe a rare case of interferon-α-induced sarcoidosis with uveitis as the initial sy...

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Autores principales: Ai Kato, Mami Ishihara, Nobuhisa Mizuki
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Publicado: BMC 2021
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spelling oai:doaj.org-article:d680fef0ba7543eab26f7d52f5af29632021-11-28T12:37:24ZInterferon-induced sarcoidosis with uveitis as the initial symptom: a case report and review of the literature10.1186/s13256-021-03181-x1752-1947https://doaj.org/article/d680fef0ba7543eab26f7d52f5af29632021-11-01T00:00:00Zhttps://doi.org/10.1186/s13256-021-03181-xhttps://doaj.org/toc/1752-1947Abstract Background In recent years, numerous studies have reported the development or exacerbation of sarcoidosis due to interferon therapy. However, ocular lesions rarely present as initial symptoms. Herein, we describe a rare case of interferon-α-induced sarcoidosis with uveitis as the initial symptom, and present a review of the relevant literature. Case presentation This case involved a 62-year-old-Japanese woman with a history of a combination treatment of pegylated interferon-α-2a, ribavirin, and simeprevir, after which she developed granulomatous panuveitis. She was subsequently diagnosed with sarcoidosis following histological examination of skin biopsy specimens. In addition to reporting this case, we performed a literature review of 27 cases (24 case reports) of histopathologically diagnosed interferon-α-induced sarcoidosis published between January 2009 and November 2018. Conclusions Among the reviewed cases, 23 (85.1%) cases developed skin lesions and 19 (70.1%) had lung lesions. Only three cases (11.1%) had accompanying eye lesions. Interferon-α therapy was discontinued in 16 cases (52.9%), and the majority exhibited improvement after systemic corticosteroid treatment. There are few reported cases of interferon-α-induced sarcoidosis with uveitis as the initial symptom. However, if uveitis develops during or after interferon-α treatment, it might represent an initial symptom of interferon-α-induced sarcoidosis, as observed in the present case.Ai KatoMami IshiharaNobuhisa MizukiBMCarticleInterferonSarcoidosisUveitisInterferon-induced sarcoidosisCase reportMedicineRENJournal of Medical Case Reports, Vol 15, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Interferon
Sarcoidosis
Uveitis
Interferon-induced sarcoidosis
Case report
Medicine
R
spellingShingle Interferon
Sarcoidosis
Uveitis
Interferon-induced sarcoidosis
Case report
Medicine
R
Ai Kato
Mami Ishihara
Nobuhisa Mizuki
Interferon-induced sarcoidosis with uveitis as the initial symptom: a case report and review of the literature
description Abstract Background In recent years, numerous studies have reported the development or exacerbation of sarcoidosis due to interferon therapy. However, ocular lesions rarely present as initial symptoms. Herein, we describe a rare case of interferon-α-induced sarcoidosis with uveitis as the initial symptom, and present a review of the relevant literature. Case presentation This case involved a 62-year-old-Japanese woman with a history of a combination treatment of pegylated interferon-α-2a, ribavirin, and simeprevir, after which she developed granulomatous panuveitis. She was subsequently diagnosed with sarcoidosis following histological examination of skin biopsy specimens. In addition to reporting this case, we performed a literature review of 27 cases (24 case reports) of histopathologically diagnosed interferon-α-induced sarcoidosis published between January 2009 and November 2018. Conclusions Among the reviewed cases, 23 (85.1%) cases developed skin lesions and 19 (70.1%) had lung lesions. Only three cases (11.1%) had accompanying eye lesions. Interferon-α therapy was discontinued in 16 cases (52.9%), and the majority exhibited improvement after systemic corticosteroid treatment. There are few reported cases of interferon-α-induced sarcoidosis with uveitis as the initial symptom. However, if uveitis develops during or after interferon-α treatment, it might represent an initial symptom of interferon-α-induced sarcoidosis, as observed in the present case.
format article
author Ai Kato
Mami Ishihara
Nobuhisa Mizuki
author_facet Ai Kato
Mami Ishihara
Nobuhisa Mizuki
author_sort Ai Kato
title Interferon-induced sarcoidosis with uveitis as the initial symptom: a case report and review of the literature
title_short Interferon-induced sarcoidosis with uveitis as the initial symptom: a case report and review of the literature
title_full Interferon-induced sarcoidosis with uveitis as the initial symptom: a case report and review of the literature
title_fullStr Interferon-induced sarcoidosis with uveitis as the initial symptom: a case report and review of the literature
title_full_unstemmed Interferon-induced sarcoidosis with uveitis as the initial symptom: a case report and review of the literature
title_sort interferon-induced sarcoidosis with uveitis as the initial symptom: a case report and review of the literature
publisher BMC
publishDate 2021
url https://doaj.org/article/d680fef0ba7543eab26f7d52f5af2963
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AT mamiishihara interferoninducedsarcoidosiswithuveitisastheinitialsymptomacasereportandreviewoftheliterature
AT nobuhisamizuki interferoninducedsarcoidosiswithuveitisastheinitialsymptomacasereportandreviewoftheliterature
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