[A case of juvenile rheumatoid arthritis with panuveitis].
An association of bilateral panuveitis and juvenile rheumatoid arthritis (JRA) was recognized in a case which had an acute onset of systemic JRA without ocular manifestations 3 years previously. On the present occasion she had no active systemic inflammation at the onset of panuveitis. Fluorescein angiography demonstrated bilateral hypo-fluorescent patches at the posterior pole in the early stage and corresponding window defects in the late stage. Topical corticosteroid treatment and oral non-steroid therapy resulted in clinical improvement of the uveitis. It is concluded that ophthalmologic examinations, including fundus ophthalmoscopy, are important in patients with JRA, since there is a possibility of ocular symptoms, even in the systemic type in which ocular complications are rare, as well as in cases with a long interval since the onset of arthritis.
Ishihara
M
M
Department of Ophthalmology, Yokohama City University School of Medicine, Japan.
Nakamura
S
S
Okada
K
K
Yokota
S
S
Ohno
S
S
D000293:Adolescent; D001171:Arthritis, Juvenile / Q000150:complications*; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D009887:Ophthalmoscopy; D015864:Panuveitis / Q000175:diagnosis / Q000209:etiology*