RESUMO
PURPOSE: To report a case of ankylosing spondylitis that initially presented as unilateral optic neuritis. METHODS: Case report. DESIGN: Clinical findings and treatment are presented. A 31-year-old woman presented with unilateral optic neuritis in her right eye. Her symptom improved following pulse steroid therapy. Unfortunately, she developed severe pain and weakness in her bilateral knee and ankle joints during follow-up. Further investigation revealed a positive finding of HLA-B27 and bilateral sacroiliitis. Ankylosing spondylitis was confirmed and was treated with Salazine and Mobic. CONCLUSIONS: Optic neuritis is rarely the first symptom of AS. Careful surveying and prompt treatment is necessary.
Assuntos
Neurite Óptica/etiologia , Espondilite Anquilosante/complicações , Adulto , Anti-Inflamatórios não Esteroides/uso terapêutico , Artralgia/induzido quimicamente , Visão de Cores , Quimioterapia Combinada , Feminino , Fundo de Olho , Antígeno HLA-B27/sangue , Humanos , Meloxicam , Neurite Óptica/tratamento farmacológico , Neurite Óptica/patologia , Neurite Óptica/fisiopatologia , Pulsoterapia , Cintilografia , Sacroileíte/diagnóstico por imagem , Sacroileíte/genética , Espondilite Anquilosante/tratamento farmacológico , Espondilite Anquilosante/imunologia , Esteroides/administração & dosagem , Esteroides/efeitos adversos , Sulfassalazina/uso terapêutico , Tiazinas/uso terapêutico , Tiazóis/uso terapêutico , Resultado do TratamentoRESUMO
PURPOSE: To report a case with reactive arthritis (ReA) following Streptococcus viridans genitourinary infection. METHODS: Case report. DESIGN: Clinical findings and treatment are presented. The 28-year-old man visited the authors' hospital due to ciliary injection and hypopyon over left eye. On examination, Behcet-mimicking symptoms were observed, such as genital and oral ulcers and arthritis. Furthermore, S. viridans was found in the urethral discharge culture. Under the impression of ReA, which was triggered by S. viridans, NSAID and antibiotics were prescribed. Complete resolution of ocular and systemic symptoms was achieved after 2 months of treatment. CONCLUSIONS: Streptococcus viridans is potential microorganisms of ReA. Careful survey and prompt treatment is necessary.
