Lepromatous uveitis diagnosed by iris biopsy.
Ocular leprosy is rarely seen in developed countries. We report the long-term follow-up of a patient with bilateral uveitis, glaucoma, and keratitis. Skin, iris and aqueous humor biopsies disclosed abundant Wade-Fite-positive organisms consistent with Mycobacterium leprae. Leprosy must be considered in the differential diagnosis of keratitis and uveitis.
Messmer
E M
EM
University Eye Hospital, Munich, Germany.
Raizman
M B
MB
Foster
C S
CS
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001082:Aqueous Humor / Q000382:microbiology; D001706:Biopsy; D004269:DNA, Bacterial / Q000032:analysis; D004359:Drug Therapy, Combination; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D005901:Glaucoma / Q000175:diagnosis / Q000382:microbiology; D006801:Humans; D007498:Iris / Q000382:microbiology / Q000473:pathology*; D007634:Keratitis / Q000175:diagnosis / Q000382:microbiology; D007917:Leprostatic Agents / Q000627:therapeutic use; D015440:Leprosy, Lepromatous / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D008297:Male; D009166:Mycobacterium leprae / Q000235:genetics / Q000302:isolation & purification*; D016133:Polymerase Chain Reaction; D012867:Skin / Q000382:microbiology; D014606:Uveitis, Anterior / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial; D007917:Leprostatic Agents