Nejabat M, Mahmoudi Nezhad GS, Shenavandeh S, Ashraf MJ, Jalalpour MH. Conjunctivitis as a manifestation of Wegener's Granulomatosis.
J Curr Ophthalmol 2018;
30:268-272. [PMID:
30197959 PMCID:
PMC6127366 DOI:
10.1016/j.joco.2017.11.003]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2017] [Revised: 10/17/2017] [Accepted: 11/10/2017] [Indexed: 11/19/2022] Open
Abstract
Purpose
To report a case of prolonged conjunctivitis as the manifestation of Granulomatosis with polyangiitis (GPA).
Methods
A 37-year-old man presented with prolonged conjunctivitis which had persisted for one month. He was taking medication for his conjunctivitis without any response. A slit-lamp examination revealed conjunctivitis and scleritis in the right eye. Conjunctivitis, 360-degree peripheral corneal thinning, corneal perforation, and scleritis were seen in the left eye.
Results
Emergency penetrating keratoplasty was performed to treat the patient's corneal perforation. After a consultation with the Internal Medicine Department, the patient was suspected of having GPA with positive cytoplasmic anti-neutrophil cytoplasmic antibodies (C-ANCA). Functional endoscopic sinus surgery was performed to treat right maxillary sinusitis, and a biopsy of the maxillary sinus mucosa was obtained. The pathology report showed granuloma and vasculitis with severe acute and chronic inflammation and few eosinophils; thus, the diagnosis was confirmed.
Conclusion
Because prolonged conjunctivitis occurs only rarely in association with systemic disease, ophthalmologists should be aware of this potential, particularly in patients with GPA.
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