Abstract | RATIONALE: Posterior scleritis is an ocular inflammatory disorder that can be associated with both infectious and non-infectious immune reactions. Behcet disease is a chronic, relapsing, multisystemic inflammatory disorder with uveitis. There are no reported cases of posterior scleritis with Bechet disease. PATIENT CONCERNS: A 50-year-old man previously diagnosed with systemic Behcet disease presented with ocular pain and decreased vision in the left eye. DIAGNOSIS: Posterior scleritis associated with Behcet disease was diagnosed based on optical coherence tomography showing choroidal folds, as well as contrast computed tomography and ultrasound sonography demonstrating thickening of the posterior sclera. INTERVENTIONS: OUTCOMES: Posterior scleritis was resolved and visual acuity improved. With the continuation of TNF-α therapy, oral prednisolone was successfully tapered and discontinued. No relapse of inflammation was observed at follow-up 1 year after discontinuation of prednisolone. LESSONS:
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Authors | Chihiro Yanagida, Yoshihiko Usui, Jun-Ichi Sakai, Hiroshi Goto |
Journal | Medicine
(Medicine (Baltimore))
Vol. 98
Issue 35
Pg. e16886
(Aug 2019)
ISSN: 1536-5964 [Electronic] United States |
PMID | 31464918
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Adrenal Cortex Hormones
- Tumor Necrosis Factor-alpha
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Topics |
- Adrenal Cortex Hormones
(pharmacology, therapeutic use)
- Behcet Syndrome
(complications)
- Humans
- Male
- Middle Aged
- Scleritis
(diagnostic imaging, drug therapy, etiology)
- Tomography, Optical Coherence
- Treatment Outcome
- Tumor Necrosis Factor-alpha
(pharmacology, therapeutic use)
- Ultrasonography
- Visual Acuity
(drug effects)
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