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Bilateral interstitial keratitis with anterior stromal infiltrates associated with reactive arthritis.

Bilateral interstitial keratitis with anterior stromal infiltrates associated with reactive arthritis.
Author Information (click to view)

Hsing YE, Walker J,


Hsing YE, Walker J, (click to view)

Hsing YE, Walker J,

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BMJ case reports 2017 07 062017() pii bcr-2016-218419
Abstract

A previously healthy 48-year-old man presented with a 1-week history of migrating polyarthropathy preceded by a viral illness, dysuria and bilateral red eyes. Ocular examination revealed anterior and interstitial stromal keratitis. He was systemically well but had raised erythrocyte sedimentation rate and C reactive protein and was positive for human leucocyte antigen B27 on extensive infective, rheumatological and autoimmune investigations. Although the exact triggering pathogen was not identified, clinical findings were consistent with reactive arthritis. Bilateral interstitial keratitis is a rare manifestation of reactive arthritis which, along with the anterior stromal keratitis, responded well to topical prednisolone sodium phosphate 0.5%. Systemic joint symptoms improved on oral sulfasalazine, non-steroid anti-inflammatory agent and low-dose prednisolone.

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