PMC3295379_01
Composite photographs of the fundus and fluorescein angiograms of a patient with ocular sarcoidosis with an infarct in the medulla oblongata. (a) and (b) Infiltrates and ischemic areas can be seen. (c) and (d) Fluorescein angiograms of right and left eyes showing areas of nonperfusion (arrow) in both eyes.
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fig1
Fundus examination demonstrated vasculitis in both eyes (Figures 1(a) and 1(b)).
Images of the brain of a patient with an infarct in the medulla oblongata. (a) Left medulla oblongata encephalomalacia on axial T2-fluid-attenuated inversion image (arrow head). (b) Diffusion-weighted (TTt) image showing restricted diffusion in the left medulla oblongata (arrowhead).
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fig2
Brain magnetic resonance imaging (MRI) showed an infarct on the left side of the medulla oblongata (Figure 2).
Histopathological section of skin biopsy. Nonnecrotizing granuloma with several multinucleated giant cells and epitheliod histiocytes can be seen. Hematoxylin-eosin x250.
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fig3
Dermal examination/skin biopsy revealed granulomatous nodular dermatitis (Figure 3). 18F-FDG in the acute stage showed an upregulation of both hillar lymphadenitis in the mediastinum and ocular regions.