Orbital varices diagnosed as episcleritis in a child with juvenile idiopathic arthritis

Misra, Aseema; Edelsten, Clive

doi:10.1016/j.jpeds.2004.07.042

Cited by 1 publication

(1 citation statement)

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“…11 Episcleritis can occur with rheumatoid arthritis, juvenile idiopathic arthritis, reactive arthritis, systemic lupus erythematosus, inflammatory bowel disease, vasculitis, leukemia, Herpes simplex and zoster, Yersina infections, Lyme disease, and tuberculosis. [12][13][14][15][16][17][18][19][20][21][22][23] We ruled out these causes in this patient. An important point to note in our study was misdiagnosing the patient with preseptal cellulitis due to the first manifestations of the patient which were swelling and redness around the left eye.…”

Section: Discussionmentioning

confidence: 99%

Episcleritis; and posterior uveitis misdiagnosed as orbital cellulitis in a child patient with Behçet’s disease

Jari,

Nasiri,

Ghandehari

2023

SAGE Open Medical Case Reports

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Behçet’s disease is a chronic multisystem vasculitis that presented with several manifestations. Episcleritis is a benign inflammation of the episcleral tissue and is rarely reported in Behçet’s disease. We reported an 11-year-old girl who was admitted due to pain and swelling around the left eye with initial diagnosis of preseptal cellulitis. The patient had a history of recurrent oral aphthous ulcers and genital ulcers. Episcleritis and posterior uveitis were reported in ophthalmic examination and ultrasonography. Pathergy skin test and human leukocyte antigens (HLA) B5 and HLA-B51 were positive, consistent with the diagnosis of Behcet’s disease. This case report emphasizes that various pathological causes may cause episcleritis and uveitis in children, one of which is rheumatic diseases, that should always be considered.

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