Anterior uveitis, pigmentary retinopathy, and pars plana exudates in Celiac disease.

Aniruddha Agarwal, Surinder S Rana, Kirti Gupta
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引用次数: 0

Abstract

Purpose: To report a case of bilateral anterior uveitis, pigmentary retinopathy, and pars plana exudates in a patient with Celiac disease with complete resolution of inflammation following gluten-free diet.

Methods: Retrospective case report.

Results: A 19-year-old Asian Indian girl presented with bilateral non-granulomatous anterior uveitis for the past 2 months. Examination revealed bilateral pigmentary retinopathy and exudates near the inferior pars plana in the left eye. Laboratory evaluation revealed positive anti-tissue transglutaminase antibody, low thyroid stimulating hormone, low serum ferritin, anemia, and vitamin D deficiency. Her duodenal biopsy was confirmatory for Celiac disease. After initiation of gluten-free diet, there was complete resolution of anterior segment inflammation and vitreous exudates.

Conclusions: Celiac disease is a rare cause of corticosteroid-resistant uveitis with a handful of cases reported in the literature. This condition has protean manifestations and resolves with gluten-free diet.

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乳糜泻的前葡萄膜炎、色素视网膜病变和网膜部渗出。
目的:报告一例乳糜泻患者的双侧前葡萄膜炎、色素视网膜病变和平面部渗出,在无麸质饮食后炎症完全消退。方法:回顾性病例报告。结果:一名19岁的亚洲印度女孩在过去的2个月里表现为双侧非肉芽肿性前葡萄膜炎。检查发现双侧视网膜色素病变,左眼下网膜附近渗出物。实验室评估显示抗组织转谷氨酰胺酶抗体阳性,低促甲状腺激素,低血清铁蛋白,贫血和维生素D缺乏。她的十二指肠活检证实为乳糜泻。开始无麸质饮食后,前段炎症和玻璃体渗出完全消失。结论:乳糜泻是一种罕见的引起皮质类固醇抵抗性葡萄膜炎的原因,文献中报道了少数病例。这种情况有多种表现,并通过无麸质饮食解决。
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来源期刊
Retinal Cases and Brief Reports
Retinal Cases and Brief Reports Medicine-Ophthalmology
CiteScore
2.10
自引率
0.00%
发文量
342
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Drusen Regression Following Macular Hole Surgery: A Case Report. Treatment of vision-threatening branch retinal artery occlusion following coronary angioplasty with surgical displacement of embolus. Punctate Inner Choroidopathy (PIC)-like Reaction in Stage 3 Extensive Macular Atrophy with Pseudodrusen-like Appearance (EMAP). A 19-year-old asymptomatic woman. Multicentric Castleman's Disease presenting with bilateral panuveitis.
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