title: Poststreptococcal syndrome presenting as posterior scleritis in a child.
abstract: Posterior scleritis in children is very rare. In contrast to the adult form, pediatric posterior scleritis has not previously been associated with any systemic disorder. We describe a case of an 11-year-old girl who presented with left eye pain and redness and was found to have posterior scleritis on ultrasonography. Her laboratory work-up revealed a highly elevated antistreptolysin O titer; the rest of her serologic and radiologic evaluation was unremarkable. She was diagnosed with presumed poststreptococcal posterior scleritis and improved with a slow taper of oral steroids.
authors.affiliation: Department of Ophthalmology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; Department of Ophthalmology and Visual Science, University of Chicago, Chicago, Illinois.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Hilkert
authors.affiliation: Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
authors.forename: Anjum F
authors.initials: AF
authors.lastname: Koreishi
authors.affiliation: Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Electronic address: d-pyatetsky@northwestern.edu.
authors.forename: Dmitry
authors.initials: D
authors.lastname: Pyatetsky
mesh_terms: D000869:Anterior Eye Segment / Q000000981:diagnostic imaging; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D012590:Sclera / Q000000981:diagnostic imaging*; D015423:Scleritis / Q000175:diagnosis / Q000209:etiology*; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis; D013577:Syndrome; D041623:Tomography, Optical Coherence; D014463:Ultrasonography