Singh N, Morya AK, Walia S, Udenia H. Tubercular chorioretinitis mimicking sarcoidosis in a patient with celiac disease and erythema nodosum: A case report. World J Clin Cases 2026; 14(6): 118184 [DOI: 10.12998/wjcc.v14.i6.118184]
Corresponding Author of This Article
Arvind Kumar Morya, Additional Professor, Consultant, Principal Investigator, Researcher, Senior Researcher, Department of Ophthalmology, All India Institute of Medical Sciences, Bibi Nagar, Hyderabad 508126, Telangana, India. bulbul.morya@gmail.com
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Ophthalmology
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Case Report
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Feb 26, 2026 (publication date) through Feb 13, 2026
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World Journal of Clinical Cases
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2307-8960
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Singh N, Morya AK, Walia S, Udenia H. Tubercular chorioretinitis mimicking sarcoidosis in a patient with celiac disease and erythema nodosum: A case report. World J Clin Cases 2026; 14(6): 118184 [DOI: 10.12998/wjcc.v14.i6.118184]
World J Clin Cases. Feb 26, 2026; 14(6): 118184 Published online Feb 26, 2026. doi: 10.12998/wjcc.v14.i6.118184
Tubercular chorioretinitis mimicking sarcoidosis in a patient with celiac disease and erythema nodosum: A case report
Nihil Singh, Arvind Kumar Morya, Shweta Walia, Hemlata Udenia
Nihil Singh, Shweta Walia, Department of Ophthalmology, MGM Medical College, Indore 452001, Madhya Pradesh, India
Arvind Kumar Morya, Department of Ophthalmology, All India Institute of Medical Sciences, Hyderabad 508126, Telangana, India
Hemlata Udenia, Department of Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110001, New Delhi, India
Co-first authors: Nihil Singh and Shweta Walia.
Author contributions: Singh N and Walia S contributed to patient management and manuscript drafting; Walia S contributed to literature review and interpretation; Udenia H contributed to systemic evaluation and multidisciplinary input; Morya AK critically revised the manuscript for important intellectual content and wrote a few sections of the manuscript; and all authors read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Arvind Kumar Morya, Additional Professor, Consultant, Principal Investigator, Researcher, Senior Researcher, Department of Ophthalmology, All India Institute of Medical Sciences, Bibi Nagar, Hyderabad 508126, Telangana, India. bulbul.morya@gmail.com
Received: December 26, 2025 Revised: January 24, 2026 Accepted: February 5, 2026 Published online: February 26, 2026 Processing time: 49 Days and 9.6 Hours
Core Tip
Core Tip: This case underscores the diagnostic challenges posed by posterior uveitis in patients with underlying autoimmune conditions such as celiac disease and recurrent anemia, especially in tuberculosis-endemic regions. The presence of erythema nodosum and systemic symptoms can mimic other granulomatous diseases like sarcoidosis, making timely and accurate diagnosis difficult. However, a comprehensive evaluation including immunological testing, history of tuberculosis, family history, and response to antitubercular therapy was pivotal in establishing presumed tubercular chorioretinitis as the diagnosis. The case highlights the importance of maintaining a high index of suspicion for ocular tuberculosis and the need for a multidisciplinary approach to management, utilizing antitubercular drugs, corticosteroids, and immunosuppressants when necessary, to achieve optimal clinical outcomes.
