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19 April 2019 : Case report  Iran

Synbiotic Supplementation May Relieve Anterior Uveitis, an Ocular Manifestation in Behcet’s Syndrome

Unusual or unexpected effect of treatment, Rare disease

Gholamreza Askari1A, Amir Reza Moravejolahkami1ABE*

DOI: 10.12659/AJCR.912023

Am J Case Rep 2019; 20:548-550

Abstract

BACKGROUND: To relieve the signs and symptoms of anterior uveitis (AU), an ocular manifestation of Behcet’s syndrome, we prescribed a synbiotic supplementation (probiotics and prebiotics) for a 49-year-old woman.

CASE REPORT: Seven strains of bacteria – Lactobacillus casei, Lactobacillus rhamnosus, Streptococcus thermophilus, Bifidobacterium breve, Lactobacillus acidophilus, Bifidobacterium longum, and Lactobacillus bulgaricus, each 10⁸ colony-forming units (CFU) – and fructo-oligosaccharide (FOS; 100 mg) were given as a capsule 2 times per day. After 7-month treatment, AU was improved and serum inflammatory markers – C-reactive protein (CRP), high-sensitivity CRP (hs-CRP), and estimated sedimentation rate (ESR) – were suppressed. Now, if a mild AU attack occurs, the problem is resolved by treatment with 1 gtt (from the Latin “guttae”, meaning drops) eye drop (prednisolone 1%) for 1 week.

CONCLUSIONS: Synbiotic supplementation may contribute to treating AU, which is one of the most disastrous manifestations of BS, by controlling the proinflammatory processes.

Keywords: Behcet Syndrome, prebiotics, Probiotics, synbiotics, Uveitis, Anterior, Dietary Supplements, Lactobacillus acidophilus, Lactobacillus casei, Lactobacillus rhamnosus, Recurrence, Risk Assessment, Severity of Illness Index

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923