Bilateral Granulomatous Iridocyclitis Associated with Early-Onset Juvenile Psoriatic Arthritis

Autor: Christian Nieves-Ríos, Guillermo A. Requejo Figueroa, Sofía C. Ayala Rodríguez, Alejandra Santiago-Díaz, Eduardo J. Rodriguez-Garcia, Alejandro L. Perez, Erick Rivera-Grana, Adriana C. Figueroa-Díaz, Rafael Martín-García, Armando L. Oliver
Rok vydání: 2022
Předmět:
Zdroj: Case Reports in Ophthalmological Medicine. 2022:1-5
ISSN: 2090-6730
2090-6722
DOI: 10.1155/2022/3990406
Popis: Purpose. The purpose of this study is to report on a case of bilateral granulomatous iridocyclitis in a patient with early-onset juvenile psoriatic arthritis (JPsA). Methods. The method used is an observational case report. Observations. A 3-year-old Hispanic girl was sent to our uveitis service for further evaluation of her granulomatous uveitis. The initial ophthalmologic examination revealed bilateral band keratopathy, large mutton-fat keratic precipitates, multiple posterior synechiae, and 4+ anterior chamber cells. The physical exam was notable for left knee edema and right axillary rash. Laboratory testing was remarkable for an erythrocyte sedimentation rate of 80 mm/h, positive antinuclear antibodies (1 : 1, 280), and negative human leukocyte antigen B27. A cutaneous biopsy was obtained, which confirmed the diagnosis of a psoriatic rash. Treatment with oral prednisolone and topical prednisolone acetate with atropine sulfate resulted in the complete resolution of the uveitis. Conclusion and Importance. Bilateral granulomatous iridocyclitis may be a rare presentation of ocular involvement in patients with early-onset JPsA.
Databáze: OpenAIRE
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