Bilateral Granulomatous Iridocyclitis Associated with Early-Onset Juvenile Psoriatic Arthritis. (7th October 2022)

• Record Type: Journal Article
• Authors: Nieves-Ríos, Christian; Requejo Figueroa, Guillermo A.; Ayala Rodríguez, Sofía C.; Santiago-Díaz, Alejandra; Rodriguez-Garcia, Eduardo J.; Perez, Alejandro L.; Rivera-Grana, Erick; Figueroa-Díaz, Adriana C.; Martín-García, Rafael; Oliver, Armando L.
• Other Names: Hayashi Takaaki Academic Editor.
• Is Part Of: Case reports in ophthalmological medicine. Volume 2022(2022)
• Publication Date: 2022-10-07
• Subjects: Ophthalmology -- Periodicals; Eye -- Diseases -- Periodicals; Ophthalmology; Eye Diseases; Eye -- Diseases; Ophthalmology; Electronic journals; Periodicals; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617.7
• DOI: 10.1155/2022/3990406
• Languages: English
• ISSNs: 2090-6722

Abstract

Abstract : 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.