Choroidal hemangioma in a black patient with Sturge-Weber syndrome: Challenges in diagnosis

Soshian Sarrafpour, Edmund Tsui, Nitish Mehta, Yasha S. Modi, Paul T. Finger

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

A black teenager presented with longstanding vision loss in his right eye. Clinical exam revealed increased conjunctival vascularity and total exudative retinal detachment of the right eye. Ultrasound imaging demonstrated a choroidal mass with moderate-to-high reflectivity consistent with a choroidal hemangioma. A closer external examination demonstrated a subtle reddish hue of the eyelids and cheek, consistent with a nevus flammeus. MRI of the brain revealed a T2 enhancing vascular mass. Collectively, these findings were consistent with Sturge-Weber Syndrome. This case highlights the need for a high degree of suspicion for Sturge-Weber Syndrome in dark-skinned individuals that can otherwise mask the nevus flammeus. Physical exam findings and radiographic evidence can be used to guide the diagnosis.

Original languageEnglish
Pages (from-to)183-186
Number of pages4
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume50
Issue number3
DOIs
StatePublished - Mar 2019
Externally publishedYes

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