title: Recurrent bilateral retinal vasculitis as a manifestation of post-streptococcal uveitis syndrome.
abstract: We report a case of post-streptococcal uveitis mainly presenting with bilateral recurrent retinal vasculitis in Korea. A 14-year-old Asian female presented with decreased visual acuity of 20 / 30 in the right eye and 20 / 25 in the left eye. The patient had a history of glomerulonephritis nine months before onset of uveitis. The manifestation of uveitis was predominantly retinal vasculitis. We presumed post-streptococcal uveitis because probable streptococcal infection was confirmed by anti-streptolysin O titer elevation. With topical and oral steroid treatments, the patient experienced complete vision recovery. Post-streptococcal uveitis occurs rarely and mostly involves young patients in the form of non-granulomatous anterior uveitis. However, as this case shows, it may primarily involve the posterior uvea without anterior inflammation and may recur.
authors.affiliation: Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: Jinu
authors.initials: J
authors.lastname: Han
authors.forename: Sung Chul
authors.initials: SC
authors.lastname: Lee
authors.forename: Won Kyung
authors.initials: WK
authors.lastname: Song
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D012008:Recurrence; D031300:Retinal Vasculitis / Q000188:drug therapy / Q000382:microbiology*; D013256:Steroids / Q000627:therapeutic use; D013290:Streptococcal Infections / Q000175:diagnosis*; D014605:Uveitis / Q000188:drug therapy / Q000382:microbiology*; D014792:Visual Acuity
chemical_list: D013256:Steroids