Bilateral optic neuritis as an atypical presentation of juvenile Behcet syndrome: A case report

Q3 Neuroscience eNeurologicalSci Pub Date : 2025-03-01 Epub Date: 2025-01-10 DOI:10.1016/j.ensci.2025.100554
Armin Adibi , Iman Adibi , Saeed Bahramian , Saba Naghavi , Fatemeh Gholami
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Abstract

Behcet syndrome is a systemic vasculitis characterized by relapsing uveitis, oral aphthous, and genital ulcers. We present a rare case of a 14-year-old male with juvenile Behcet syndrome (JBS) presenting as bilateral optic neuritis with oral aphthous. Initial treatment with methylprednisolone did not improve the patient's condition. Serum plasmapheresis was performed, resulting in improved visual acuity and papillitis. The patient was discharged with azathioprine, which led to symptom regression. This case highlights the atypical neurologic presentation of JBS and the potential efficacy of plasma exchange in refractory cases.

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双侧视神经炎作为一种非典型表现的青少年Behcet综合征:1例报告。
白塞综合征是一种系统性血管炎,以复发性葡萄膜炎、口腔溃疡和生殖器溃疡为特征。我们报告一例罕见的14岁男性青少年Behcet综合征(JBS)表现为双侧视神经炎和口腔口疮。最初使用甲基强的松龙治疗并没有改善患者的病情。血清血浆置换术改善了视力和乳头炎。患者出院时使用硫唑嘌呤,导致症状消退。本病例突出了JBS的非典型神经表现和血浆置换治疗难治性病例的潜在疗效。
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来源期刊
eNeurologicalSci
eNeurologicalSci Neuroscience-Neurology
CiteScore
3.50
自引率
0.00%
发文量
45
审稿时长
62 days
期刊介绍: eNeurologicalSci provides a medium for the prompt publication of original articles in neurology and neuroscience from around the world. eNS places special emphasis on articles that: 1) provide guidance to clinicians around the world (Best Practices, Global Neurology); 2) report cutting-edge science related to neurology (Basic and Translational Sciences); 3) educate readers about relevant and practical clinical outcomes in neurology (Outcomes Research); and 4) summarize or editorialize the current state of the literature (Reviews, Commentaries, and Editorials). eNS accepts most types of manuscripts for consideration including original research papers, short communications, reviews, book reviews, letters to the Editor, opinions and editorials. Topics considered will be from neurology-related fields that are of interest to practicing physicians around the world. Examples include neuromuscular diseases, demyelination, atrophies, dementia, neoplasms, infections, epilepsies, disturbances of consciousness, stroke and cerebral circulation, growth and development, plasticity and intermediary metabolism. The fields covered may include neuroanatomy, neurochemistry, neuroendocrinology, neuroepidemiology, neurogenetics, neuroimmunology, neuroophthalmology, neuropathology, neuropharmacology, neurophysiology, neuropsychology, neuroradiology, neurosurgery, neurooncology, neurotoxicology, restorative neurology, and tropical neurology.
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