Choroidal vitiligo masquerading as large choroidal nevus: a report of four cases

Ophthalmology
Carol L ShieldsJerry A Shields

Abstract

To describe 4 patients with choroidal vitiligo masquerading as large choroidal nevus. Retrospective chart review. Observational case series of 4 patients. Retrospective chart review. Clinical features. Four patients referred with the diagnosis of large choroidal nevus were found to have unilateral (n = 1) or bilateral (n = 3) extensive patchy choroidal depigmentation classified as choroidal vitiligo. There was no evidence of choroidal nevus, and the pigmented "lesion" proved to be normal choroidal pigment surrounded by a region of pigment absence (vitiligo). There was no evidence of ocular inflammation or related retinal or retinal pigment epithelial changes. The choroidal vitiligo was clinically flat and measured 12 to 24 mm diameter, involving the post-equatorial fundus in all cases. There were no related anterior segment abnormalities. Cutaneous vitiligo was present in all cases. There was no documented progression of the choroidal or cutaneous vitiligo over a maximum 2-year follow-up. Choroidal vitiligo is an idiopathic benign process that can involve large segments of the posterior choroid, leaving only patches of residual choroidal pigment, simulating, in reverse, a large choroidal nevus. The author(s) have no proprietary...Continue Reading

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Citations

Jun 27, 2013·Retinal Cases & Brief Reports·David A ReichsteinCarol L Shields
Oct 13, 2015·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Benjamin BotsfordAndre J Witkin
Jan 1, 2013·Qatar Medical Journal·Mohamed Allam, Hassan Riad
Sep 10, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·James J AugsburgerZelia M Correa
Feb 13, 2019·Korean Journal of Ophthalmology : KJO·Mirinae KimYoung Hoon Park
Apr 20, 2021·International Ophthalmology·Francesco PichiChristine Dackiw

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