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Recurrent bilateral retinal vasculitis as a manifestation of post-streptococcal uveitis syndrome

Authors
 Jinu Han  ;  Sung Chul Lee  ;  Won Kyung Song 
Citation
 Korean Journal of Ophthalmology, Vol.26(4) : 309-311, 2012 
Journal Title
 Korean Journal of Ophthalmology 
ISSN
 1011-8942 
Issue Date
2012
MeSH
Adolescent ; Diagnosis, Differential ; Female ; Humans ; Recurrence ; Retinal Vasculitis/drug therapy ; Retinal Vasculitis/microbiology* ; Steroids/therapeutic use ; Streptococcal Infections/diagnosis* ; Uveitis/drug therapy ; Uveitis/microbiology* ; Visual Acuity
Keywords
Antistreptolysin ; Streptococcus ; Uveitis ; Vasculitis
Abstract
We report a case of post-streptococcal uveitis mainly presenting with bilateral recurrent retinal vasculitis in Korea. A 14-year-old Asian female presented with decreased visual acuity of 20 / 30 in the right eye and 20 / 25 in the left eye. The patient had a history of glomerulonephritis nine months before onset of uveitis. The manifestation of uveitis was predominantly retinal vasculitis. We presumed post-streptococcal uveitis because probable streptococcal infection was confirmed by anti-streptolysin O titer elevation. With topical and oral steroid treatments, the patient experienced complete vision recovery. Post-streptococcal uveitis occurs rarely and mostly involves young patients in the form of non-granulomatous anterior uveitis. However, as this case shows, it may primarily involve the posterior uvea without anterior inflammation and may recur.
Files in This Item:
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DOI
10.3341/kjo.2012.26.4.309
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Sung Chul(이성철) ORCID logo https://orcid.org/0000-0001-9438-2385
Han, Jinu(한진우) ORCID logo https://orcid.org/0000-0002-8607-6625
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/158303
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