Tags

Type your tag names separated by a space and hit enter

Granulomatous uveitis and reactive arthritis as manifestations of post-streptococcal syndrome.
Int Ophthalmol. 2015 Oct; 35(5):641-3.IO

Abstract

To report a case of bilateral granulomatous post-streptococcal syndrome uveitis in association with reactive arthritis as manifestation of post-streptococcal syndrome. To our knowledge, this could represent the first reported case in the literature. A 9-year-old girl, with no past ocular history, presented with a 5-day history of bilateral blurred vision, red eyes, photophobia and walking difficulties because of a right ankle pain. Ophthalmic examination disclosed a visual acuity limited to hand motion, mutton-fat keratic precipitates, anterior chamber cells and posterior synechiae in both eyes. Ocular pressure was normal. Physical examination showed a fever (38 °C), inflammatory ankle arthritis and scarlet fever (streptococcal lesion). Anti-streptococcal lysine O titer was 419 μ/ml. The patient was treated with topical steroids, cycloplegics, high-dose oral steroids and preventive course of penicillin with total improvement and no recurrence. Post-streptococcal syndrome should be considered in the etiology of acute bilateral granulomatous uveitis in children, and anti-streptococcal lysine O titer should be considered in serodiagnostic testing.

Authors+Show Affiliations

Department B of Ophthalmology, Hedi Rais Institute of Ophthalmology, Boulevard 9 Avril, Bab Saadoun, 1006, Tunis, Tunisia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22986580

Citation

Abderrahim, Kais, et al. "Granulomatous Uveitis and Reactive Arthritis as Manifestations of Post-streptococcal Syndrome." International Ophthalmology, vol. 35, no. 5, 2015, pp. 641-3.
Abderrahim K, Chebil A, Falfoul Y, et al. Granulomatous uveitis and reactive arthritis as manifestations of post-streptococcal syndrome. Int Ophthalmol. 2015;35(5):641-3.
Abderrahim, K., Chebil, A., Falfoul, Y., Bouladi, M., & El Matri, L. (2015). Granulomatous uveitis and reactive arthritis as manifestations of post-streptococcal syndrome. International Ophthalmology, 35(5), 641-3. https://doi.org/10.1007/s10792-012-9626-1
Abderrahim K, et al. Granulomatous Uveitis and Reactive Arthritis as Manifestations of Post-streptococcal Syndrome. Int Ophthalmol. 2015;35(5):641-3. PubMed PMID: 22986580.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Granulomatous uveitis and reactive arthritis as manifestations of post-streptococcal syndrome. AU - Abderrahim,Kais, AU - Chebil,Ahmed, AU - Falfoul,Yosra, AU - Bouladi,Mejda, AU - El Matri,Leila, Y1 - 2012/09/18/ PY - 2012/02/04/received PY - 2012/09/04/accepted PY - 2012/9/19/entrez PY - 2012/9/19/pubmed PY - 2016/5/14/medline SP - 641 EP - 3 JF - International ophthalmology JO - Int Ophthalmol VL - 35 IS - 5 N2 - To report a case of bilateral granulomatous post-streptococcal syndrome uveitis in association with reactive arthritis as manifestation of post-streptococcal syndrome. To our knowledge, this could represent the first reported case in the literature. A 9-year-old girl, with no past ocular history, presented with a 5-day history of bilateral blurred vision, red eyes, photophobia and walking difficulties because of a right ankle pain. Ophthalmic examination disclosed a visual acuity limited to hand motion, mutton-fat keratic precipitates, anterior chamber cells and posterior synechiae in both eyes. Ocular pressure was normal. Physical examination showed a fever (38 °C), inflammatory ankle arthritis and scarlet fever (streptococcal lesion). Anti-streptococcal lysine O titer was 419 μ/ml. The patient was treated with topical steroids, cycloplegics, high-dose oral steroids and preventive course of penicillin with total improvement and no recurrence. Post-streptococcal syndrome should be considered in the etiology of acute bilateral granulomatous uveitis in children, and anti-streptococcal lysine O titer should be considered in serodiagnostic testing. SN - 1573-2630 UR - https://www.unboundmedicine.com/medline/citation/22986580/Granulomatous_uveitis_and_reactive_arthritis_as_manifestations_of_post_streptococcal_syndrome_ L2 - https://doi.org/10.1007/s10792-012-9626-1 DB - PRIME DP - Unbound Medicine ER -