03 March 2008
Neuro-ophthalmic complications of juvenile rheumatoid arthritis: a case report and review of literature
Afekhide Ernest Omoti, Joseph Momodu Waziri-Erameh, Vivian Bose OsaguonaAm J Case Rep 2008; 9:147-150 :: ID: 843054
Abstract
Background: The association between inflammatory ocular and articular disease is a strong one, although the pathogenesis of this relationship is obscure. Several ophthalmic disorders may occur in rheumatic diseases including keratoconjunctivitis sicca, ulcerative keratitis, scleritis, uveitis, retinal vascular disease, and neuro-ophthalmic lesions. Neuro-ophthalmic complications are not common in juvenile rheumatoid arthritis. The aim of this study is to report a series of neuro-ophthalmic complications in a Nigerian patient with juvenile rheumatoid arthritis.
Case Report: A nine year old female who was being managed for pauciarticular juvenile rheumatoid arthritis was referred to DDS Eye Clinic, Benin City, Nigeria, on the 8th of April 2007 to rule out uveitis. There was no uveitis. She later developed left retrobulbar neuritis with a vision of no perception of light. She was treated with corticosteroids. Her vision recovered completely but she subsequently developed left oculomotor nerve paresis with double vision. She also recovered completely.
Conclusions: Juvenile rheumatoid arthritis may be complicated by neuro-ophthalmic complications such as optic neuritis and cranial nerve paresis and require prompt diagnosis and treatment. A close collaboration between the treating paediatrician or rheumatologist and the ophthalmologist is essential to prevent potentially devastating outcomes if treatment is delayed.
Keywords: rheumatoid arthritis, optic neuritis, oculomotor paresis
In Press
12 Feb 2024 : Case report
Diagnostic Challenges and Imaging Considerations for Intraparotid Facial Nerve Schwannoma: A Case Report an...Am J Case Rep In Press; DOI: 10.12659/AJCR.942870
12 Feb 2024 : Case report
Erdheim-Chester Disease Occult on Radiographs and CT but Visible on MRI and PETAm J Case Rep In Press; DOI: 10.12659/AJCR.941169
12 Feb 2024 : Case report
Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.942839
13 Feb 2024 : Case report
Warfarin Woes: A Rare Case of Hemoperitoneum with Intramural Small Bowel HematomaAm J Case Rep In Press; DOI: 10.12659/AJCR.943519
Most Viewed Current Articles
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
05 Mar 2022 : Case report
Acute Limb Ischemia After Self-Injection of Crushed Morphine Tablets into the Radial Artery: Role of Infrar...DOI :10.12659/AJCR.935336
Am J Case Rep 2022; 23:e935336
02 Apr 2022 : Case report
Infective Endocarditis Caused by Pseudomonas luteola in a Pediatric Patient. A Case Report and Review of Li...DOI :10.12659/AJCR.935743
Am J Case Rep 2022; 23:e935743