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Sarcoid uveitis simulating birdshot chorioretinopathy in a child.

PURPOSE
To report a child with sarcoid choroidopathy that has a similar appearance to birdshot chorioretinopathy.


METHODS
Observational case report. Review of the clinical examination, laboratory findings, and histopathologic records of a child with sarcoidosis.


RESULTS
A 9-year-old girl was examined in a routine consultation demand in our pediatric clinic. Slit-lamp examination revealed granulomatous anterior uveitis, and funduscopic examination of both eyes revealed numerous, oval, irregular, creamy chorioretinal lesions. These were widespread throughout the fundus, except the macula, and had the characteristic funduscopic appearance of birdshot chorioretinopathy. The patient underwent axillary lymph node biopsy that showed noncaseating granulomas consistent with sarcoidosis.


CONCLUSION
Sarcoidosis should be considered in a child with chorioretinal lesions resembling birdshot chorioretinopathy.