Journals / Glokom Katarakt / 2012 / Cilt: 7 - Sayı: 3

Diskiform keratit ve anterior üveitli bir Kawasaki hastalığı olgusu

A case of Kawasaki disease with disciform keratitis and anterior uveitis introduction

Pages
194–196
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Ophthalmologic consultation is helpful for early recognation of the KD and for treatment of cases with ophthalmic complications.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:To report a case of Kawasaki disease (KD) with disciform keratitis and anterior uveitis.
📊
Key Findings & Data:A 12-year-old male case with KD presented with a visual acuity of 6/10 in both eyes.
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Conclusion & Impact:Ophthalmologic consultation is helpful for early recognation of the KD and for treatment of cases with ophthalmic complications.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Çocuk · Keratit · Erkek

Abstract

To report a case of Kawasaki disease (KD) with disciform keratitis and anterior uveitis. A 12-year-old male case with KD presented with a visual acuity of 6/10 in both eyes. Biomicroskopic examination showed corneal stromal edema, anterior uveitis and disciform keratitis with keratic precipitates. Pacimetric examination revealed corneal thickening in both eyes. Tonometry and fundoscopic examination was normal. After medical treatment visual acuity increased to 10/10 in both eyes and corneal edema and anterior uveitis resolved. KD presentes often with ocular findings. Ophthalmologic consultation is helpful for early recognation of the KD and for treatment of cases with ophthalmic complications.

Özet

Diskiform keratitli ve anterior üveitli bir Kawasaki hastalığı (KH) olgusunu sunmak. KH tanılı her iki gözünde görme azalması ve kızarıklık olan 12 yaşındaki erkek olguda görmeler her iki gözde 6/10 düzeyinde idi. Biyomikroskopik muayenede korneal stromal ödem, anterior üveit ve keratik presipitatlar ile birlikte bulunan diskiform keratit saptandı. Yapılan pakimetrik ölçümde her iki gözde korneada kalınlık artışı saptandı. Tonometri ve fundoskopik muayene doğal olarak saptandı. Olguya uygulanan medikal tedavi sonrasında görme keskinliğinin her iki gözde 10/10'a ulaştığı ve kornea ödeminin ve anterior üveitin gerilediği saptandı. Göz bulgularının KH'a sıkça eşlik eder KH'nın erken tanısında ve oftalmik komplikasyonların tedavisinde oftalmolojik konsultasyon faydalıdır.

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Cite This Article

ERÇALIK, Y., MAÇİN, A., NOHUTÇU, A. F. (2012). Diskiform keratit ve anterior üveitli bir Kawasaki hastalığı olgusu. Glokom Katarakt, Cilt: 7 - Sayı: 3, 194–196. https://ajindex.com/articles/215406

References (17)

  1. Newburger JW, Thakahashi M, Gerber MA, et al. Diagnosis, treatment and long-term management of Kawasaki disease: a statement for health professionals from the Committee on Rheumatic fever, Endocarditis and Kawasaki disease, Council on Cardiovascular disease in the Young American Heart Association. Pediatrics 2004;114:1708-33
  2. Glass DN. Rheumatology. Rudolph’s Pediatrics, 21 st edn., McGraw-Hill Companies Inc.: USA 2003:844-5
  3. Smith LBH, Newburger JW, Burns JC. Kawasaki syndrome and the eye. Pediatr Infect Dis J 1989;8:116-8
  4. Burns JC, Joffe L, Sargent RA, et al. Anterior uveitis associated with Kawasaki syndrome. Pediatr Infect Dis 1985;4:258-61
  5. Ohno S, Miyajima T, Higuchi M, et al. Ocular manifestations of Kawasaki’s disease (mucocutaneous lymph node syndrome). Am J Ophthalmol 1982;93:713-7
  6. Font RL, Mehta RS, Streusand SB, et al. Bilateral retinal ischemia in Kawasaki disease. Postmortem findings and electron microscopic observations. Ophthalmology. May 1983;90:569-77
  7. Lin H, Burton EM, Felz MW. Orbital miyositis due to Kawasaki’s disease. Pediatr Radiol 1999;29:634-6
  8. Felz MW, Patni A, Brooks Tesser RA. Periorbital vasculitis complicating Kawasaki syndrome in an infant. Pediatrics 1998;101
  9. Ryan EH, Walton DS. Conjunctival scarring in Kawasaki disease: a new finding? J Pediatr Ophthalmol Strabismus. 1983;20:106-8
  10. Zhao SH, Wang R, Ma LQ, et al. Ptozis of both palpebra superiors caused by Kawasaki disease in a child. Zhongguo Dang Dai Er Ke Za Zhi 2007;9:8
  11. Wright H, Waddington C, Geddes J, et al. Facial nerve palsy complicating Kawasaki disease. Pediatrics. 2008;122:783-5
  12. Li ST, Chiu NC, Ho CS, et al. Facial palsy in Kawasaki disease: report of two cases. Acta Paeddiatr Taiwan. 2008;49:24-7
  13. Farvardin M, Kashef S, Aleyasin S, et al. Sudden unilateral blindness in a girl with Kawasaki disease. J Pediatr Ophthalmol Strabismus 2007;44:303-4
  14. Mauriello JA Jr, Stabile C, Wagner RS. Dacryocystitis following Kawasaki’s disease. Ophthalmol Plast Reconstr Surg 1986;2:209-11
  15. Kadyan A, Choi J, Headon MP. Disciform keratitis and optic disc swelling in Kawasaki disease: an unusual presentation. Eye (Lond) 2006;20:976-7
  16. Offret H. Disciform keratitis and Kawasaki’s disease. J Fr Ophthalmol 1993;16:114-6
  17. Blatt AN, Vogler L, Tychen L. Incomplete presentations in a series of 37 children with Kawasaki disease: the role of the pediatric ophthalmologist. J Pediatr Ophthalmol Strabismus 1996;33:114-9.