title: Anterior and Intermediate Uveitis with Retinal Vasculitis: An Unusual Manifestation of Post-Streptococcal Uveitis Syndrome.
abstract: OBJECTIVE
  To report a case of bilateral panuveitis with vasculitis, an unusual manifestation of post-streptococcal uveitis syndrome (PSU).
  
  
  METHODS
  An 8-year-old patient consulted for bilateral red eye following acute tonsillitis. Exploration revealed bilateral anterior uveitis, vitritis, macular edema, and Frosted Branch Angiitis. Given a clinical suspicion of PSU, blood and serology tests were performed to rule out other causes of vasculitis and retinitis.
  
  
  RESULTS
  Serologies came back negative except for highly elevated antistreptolysin-O titers. Topical and oral corticosteroids normalized the patient's visual acuity and clinical findings within a few weeks. A subsequent anterior-only recurrence was successfully resolved with topical treatment.
  
  
  CONCLUSIONS
  Although PSU most commonly manifests as anterior uveitis, it may present with involvement of the posterior pole. To achieve a correct diagnosis, clinical suspicion and assessment of antistreptolysin-O titers as well as ruling out other conditions with similar clinical features are the mainstay approaches to diagnosis. Prognosis is generally good.
authors.affiliation: a Ophthalmology Department , University Hospital of Bellvitge , Barcelona , Spain.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Filloy
authors.affiliation: b Ophthalmology Department , Clinica Diagonal , Barcelona , Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: Comas
authors.affiliation: a Ophthalmology Department , University Hospital of Bellvitge , Barcelona , Spain.|c Ophthalmology Department , Hospital Sant Joan de Déu, Esplugues de Llobregat , Barcelona , Spain.
authors.forename: Jaume
authors.initials: J
authors.lastname: Català-Mora
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000989:Antistreptolysin / Q000097:blood; D002648:Child; D006801:Humans; D008269:Macular Edema / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D031300:Retinal Vasculitis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D013290:Streptococcal Infections / Q000150:complications*; D016896:Treatment Outcome; D014606:Uveitis, Anterior / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D015867:Uveitis, Intermediate / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D014657:Vasculitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology
chemical_list: D000305:Adrenal Cortex Hormones; D000989:Antistreptolysin
keywords: Panuveitis; post-streptococcal; tonsillitis; uveitis; vasculitis