Bilateral Retrobulbar Optic Neuritis as the First Manifestation of Neuro-Behçet Disease
Background. Behçet disease (BD) is a polygenic and chronic autoinflammatory multisystem vasculitis. Acute optic neuritis has been rarely reported in patients with BD, especially in children. Case Presentation. We reported an 8-year-old girl with a sudden visual loss and color vision impairment. The...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Rheumatology |
| Online Access: | http://dx.doi.org/10.1155/2020/8834399 |
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| author | Mohsen Jari Taiiebeh Mohammadi Ensiyeh Taheri |
| author_facet | Mohsen Jari Taiiebeh Mohammadi Ensiyeh Taheri |
| author_sort | Mohsen Jari |
| collection | DOAJ |
| description | Background. Behçet disease (BD) is a polygenic and chronic autoinflammatory multisystem vasculitis. Acute optic neuritis has been rarely reported in patients with BD, especially in children. Case Presentation. We reported an 8-year-old girl with a sudden visual loss and color vision impairment. The patient had a history of recurrent oral aphthous ulcers, genital ulcers, and chronic abdominal pain. On ophthalmic examination, anterior and posterior chambers and funduscopy of both eyes were normal. The results of laboratory tests for infectious and rheumatic diseases were normal. Brain magnetic resonance imaging and the result of cerebrospinal fluid analysis for oligoclonal bands and auto-antibodies were also normal. Pathergy skin test and human leukocyte antigens (HLA) B5 and HLA-B51 were positive. The patient was recognized as a case of BD-related bilateral retrobulbar optic neuritis and was treated by corticosteroids, azathioprine, colchicine, and infliximab. Conclusion. Retrobulbar optic neuritis may be the first manifestation of neuro-BD. |
| format | Article |
| id | doaj-art-515b94bf1a0e4b868f9bc8e91b6fac5d |
| institution | Kabale University |
| issn | 2090-6889 2090-6897 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Rheumatology |
| spelling | doaj-art-515b94bf1a0e4b868f9bc8e91b6fac5d2025-02-03T01:28:09ZengWileyCase Reports in Rheumatology2090-68892090-68972020-01-01202010.1155/2020/88343998834399Bilateral Retrobulbar Optic Neuritis as the First Manifestation of Neuro-Behçet DiseaseMohsen Jari0Taiiebeh Mohammadi1Ensiyeh Taheri2Department of Pediatric Rheumatology, Imam Hossein Children’s Hospital, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Pediatric, Imam Hossein Children’s Hospital, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Pediatric, Imam Hossein Children’s Hospital, Isfahan University of Medical Sciences, Isfahan, IranBackground. Behçet disease (BD) is a polygenic and chronic autoinflammatory multisystem vasculitis. Acute optic neuritis has been rarely reported in patients with BD, especially in children. Case Presentation. We reported an 8-year-old girl with a sudden visual loss and color vision impairment. The patient had a history of recurrent oral aphthous ulcers, genital ulcers, and chronic abdominal pain. On ophthalmic examination, anterior and posterior chambers and funduscopy of both eyes were normal. The results of laboratory tests for infectious and rheumatic diseases were normal. Brain magnetic resonance imaging and the result of cerebrospinal fluid analysis for oligoclonal bands and auto-antibodies were also normal. Pathergy skin test and human leukocyte antigens (HLA) B5 and HLA-B51 were positive. The patient was recognized as a case of BD-related bilateral retrobulbar optic neuritis and was treated by corticosteroids, azathioprine, colchicine, and infliximab. Conclusion. Retrobulbar optic neuritis may be the first manifestation of neuro-BD.http://dx.doi.org/10.1155/2020/8834399 |
| spellingShingle | Mohsen Jari Taiiebeh Mohammadi Ensiyeh Taheri Bilateral Retrobulbar Optic Neuritis as the First Manifestation of Neuro-Behçet Disease Case Reports in Rheumatology |
| title | Bilateral Retrobulbar Optic Neuritis as the First Manifestation of Neuro-Behçet Disease |
| title_full | Bilateral Retrobulbar Optic Neuritis as the First Manifestation of Neuro-Behçet Disease |
| title_fullStr | Bilateral Retrobulbar Optic Neuritis as the First Manifestation of Neuro-Behçet Disease |
| title_full_unstemmed | Bilateral Retrobulbar Optic Neuritis as the First Manifestation of Neuro-Behçet Disease |
| title_short | Bilateral Retrobulbar Optic Neuritis as the First Manifestation of Neuro-Behçet Disease |
| title_sort | bilateral retrobulbar optic neuritis as the first manifestation of neuro behcet disease |
| url | http://dx.doi.org/10.1155/2020/8834399 |
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