Presentation
At the last visit, both patients presented a quiet uveitis and stable BCVA: case 1 had 0.8 and 1.0 in the RE and the LE, respectively, while case 2 presented 1.0 in both eyes. No side effects were recorded during this time. [ncbi.nlm.nih.gov]
Immune System
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Mediastinal Lymphadenopathy
Chest Imaging showed mediastinal lymphadenopathy and diffuse bilateral reticulonodular interstitial infiltrates (Figure 2). Pulmonary function tests (PFTs) showed restriction with severely reduced diffusion capacity (DLCO). [aspergillus.org.uk]
Entire Body System
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Fishing
Hanseen S, Morris P, Ramirez D, Wegner K, Sheppard JD, Anthony B, Casper A, Felix-Kent L, Fernandez J, Johnson T, Scoper SV, Cole R, Crawford N, Franklin L, Hamelin K, Martin J, Marx R, Schultz G, Webb J, Yeager P, Kim RY, Benz MS, Brown DM, Chen E, Fish [ncbi.nlm.nih.gov]
Rabb MF, Jampol LM, Fish RH, Campo RV, Sobol WM, Becker NM. Retinal periphlebitis in patients with acquired immunodeficiency syndrome with cytomegalovirus retinitis mimics acute frosted retinal periphlebitis. [jamanetwork.com]
Anand R, Nightingale SD, Fish RH, et al. Control of cytomegalovirus retinitis using sustained release of intraocular ganciclovir. Arch Ophthalmol. 1993; 111:223-227. 169. Jaffe GJ, McCallum RM, Branchaud B, Skalak C, Butuner Z, Ashton P. [retinalphysician.com]
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Hunting
Badamo J, Boyd KM, Enos M, Gallardo J, Jarczynski J, Lee JY, McGrosky M, Nour A, Sanchez M, Steinberg K, Stawell RJ, Breayley L, D'Sylva C, Glatz E, Hodgson L, Lim L, Ling C, McIntosh R, Morrison J, Newton A, Sanmugasundram S, Smallwood R, Zamir E, Hunt [ncbi.nlm.nih.gov]
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Constitutional Symptom
It can present in an otherwise asymptomatic patient without any constitutional symptoms. Careful examination, prompt diagnosis, and early treatment can reduce ocular morbidity. [tandfonline.com]
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Fever of Unknown Origin
A 35-year-old male with no prior ophthalmic history presented with headaches, altered mental status, and fever of unknown origin. [hindawi.com]
Jaw & Teeth
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Recurrent Oral Ulceration
He gave a history of recurrent oral ulcers. The panuveitis responded to oral and topical steroids but recurred after the steroids were stopped. His ocular condition again stabilised on restarting oral steroids and azathioprine. [ncbi.nlm.nih.gov]
The International Study Group for Behçet’s Disease2 has proposed the following criteria for diagnosis: recurrent oral ulceration plus two from the following list—recurrent genital ulcerations, eye lesions, skin lesions or a positive pathergy (or Behçetine [aao.org]
Skin
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Chancre
Oman J Ophthalmol 2 Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report Salvatore Cillino,Francesco Di Pace,Marcello Trizzino,Valentina Vecchi,Paola Di Carlo [ojoonline.org]
Eyes
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Conjunctival Nodule
In multibacillary forms the eye is invaded by the bacillus through the bloodstream resulting in bilateral involvement with the formation of conjunctival nodules and, subsequently, impairment of the cornea and uvea. [proceedings.blucher.com.br]
Psychiatrical
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Negativism
The patient was readmitted and treated with intravenous crystalline penicillin, 18 million units per day, with rapid improvement of fundoscopic aspect of the right eye and negativation of liquor VDRL after 14 days, but maintained vision loss. [scielo.br]
Neurologic
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Unstable Gait
gait with imbalance in turns and absence of meningeal signs. [egms.de]
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Hyperreflexia
The neurological examination revealed posterior cervical contracture with limitation of extension, normal muscular tone, discrete right hemiparesis of brachial predominance, right osteotendinous hyperreflexia with cutaneous plantar reflex in flexion bilaterally [egms.de]
Onset
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Onset in Adolescence
ORPHA:280921 Classification level: Disorder Synonym(s): - Prevalence: - Inheritance: - Age of onset: Childhood, Adolescent, Adult, Elderly ICD-10: H44.1 OMIM: - UMLS: - MeSH: - GARD: - MedDRA: - The documents contained in this web site are presented for [orpha.net]
Workup
Systemic workup also revealed a new diagnosis of HIV, after which he was started on highly active antiretroviral therapy. Four months after presentation, the vitritis and retinitis were completely resolved. [aao.org]
Short course of oral prednisone was initiated once the infectious workup returned negative. Within 4-weeks, he had complete resolution of eye symptoms, with improvement of vision and ophthalmologic examination. [aspergillus.org.uk]
Diagnosis, Workup, Treatment This panuveitis involved a broad differential diagnosis and collection of autoimmune and infectious serologies (Box, page 17). [retina-specialist.com]
(eg, HIV, toxoplasmosis), depending on the presentation See Workup for more detail. [emedicine.medscape.com]
Microbiology
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Wuchereria Bancrofti
Purpose: To report a case of ocular filariasis due to Wuchereria bancrofti manifesting as panuveitis. Design/methods: Observational case report. [tandfonline.com]
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Tropheryma Whipplei
Chorioretinitis and vitreitis due to Tropheryma whipplei after transplantation: case report and review. Transpl Infect Dis. 2008 Dec;10(6):413-8. DOI: 10.1111/j.1399-3062.2008.00322.x 3. Durand DV, Lecomte C, Cathébras P, Rousset H, Godeau P. [egms.de]
Treatment
The mainstay of the treatment of uveitis is corticosteroids. Immunosuppressive agents are administered if the inflammation is not adequately controlled with corticosteroids. [ncbi.nlm.nih.gov]
or in whom corticosteroid treatment is inappropriate. [centerwatch.com]
Prognosis
The long-term outcomes and prognosis of this condition are not well known. [ncbi.nlm.nih.gov]
However, typically the prognosis is guarded due to the entire eye being affected. The condition can lead to permanent blindness if early diagnosis and treatment is not provided Complications, such as glaucoma and cataract, can worsen the prognosis. [dovemed.com]
Disease course and prognosis Unfortunately, recurrence is very high in MCP, and the visual prognosis remains poor. Peripapillary atrophy with progressive subretinal fibrosis results in enlargement of a blind spot in approximately 43% of patients. [imoe.it]
Etiology
To describe clinical presentation and results of diagnostic and therapeutic procedures in seven children from an epidemic of panuveitis in the Brazilian Amazonia, as well as environmental analysis and etiological aspects involved. [ncbi.nlm.nih.gov]
This could be due to better control of systemic and infectious etiologies, leading to decreased accompanying ocular complications. [iovs.arvojournals.org]
More patients with bilateral disease had a non-infectious etiology (n 82, 50.9%) (p 0.012). [tandfonline.com]
Our suspicion of a herpetic etiology based on the lab results was growing. [retina-specialist.com]
Epidemiology
Keywords: 746 uveitis-clinical/animal model • 462 clinical (human) or epidemiologic studies: outcomes/complications • 466 clinical (human) or epidemiologic studies: treatment/prevention assessment/controlled clinical trials 2014, The Association for Research [iovs.arvojournals.org]
Saari KM, Paivonsalo-Hietanen T, Vaahtoranta-Lehtonen H et al (1995) Epidemiology of endogenous uveitis in South-Western Finland. Acta Ophthalmol Scand 73:345–349 CrossRef PubMed Google Scholar 34. [link.springer.com]
The epidemiologic background of these patients is different from those with POHS. The subjects in this study were also different from patients with birdshot or vitiliginous choroiditis and acute posterior multifocal placoid pigment epitheliopathy. [jamanetwork.com]
Pathophysiology
Du L, Kijlstra A, Yang P: Vogt-Koyanagi-Harada disease: novel insights into pathophysiology, diagnosis and treatment. Prog Retin Eye Res 2016;52:84-111. Wanat KA, Kim B, Rosenbach M: Multisystem diseases affecting the skin and eye. [karger.com]
uveal melanoma) Pathophysiology Chronic ischemia of the retina ; release of vasoproliferative substances;, such as VEGF, which also affect the anterior segment of the eye neovascularization of the iris Clinical features: initially asymptomatic; symptoms [amboss.com]
PATHOPHYSIOLOGY Immunologic factors Genetic Factors Infectious agents 22. [slideshare.net]
This uveitis associated with rickettsioses can result from two pathophysiological mechanisms: direct inversion and bacterial proliferation in the cells of the ocular tissues (direct mechanism) or the immeasurable inflammatory and immunological reaction [scientiaricerca.com]
Prevention
A slow taper is essential to preventing the panuveitis from immediately returning. [patientworthy.com]
In the six patients with available follow-up, the optic neuropathy was corticosteroid-responsive, but required corticosteroid treatment to prevent recurrences of optic nerve inflammation and subsequent vision loss. [jhu.pure.elsevier.com]
This article reviews recent developments in the understanding of SHAPU pathogenesis, clinical features, cause, and preventive measures as well as curative management. [ncbi.nlm.nih.gov]
Prevention and Prognosis of Panuveitis While it can be hard to prevent panuveitis uveitis, you can lower your risk by avoiding contact with people who have infections. [belmarrahealth.com]