Agosto 2019 vol. 1 num. 5 - 36º Congresso Brasileiro de Reumatologia

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RETINAL VASCULITIS IN JUVENILE IDIOPATHIC ARTHRITIS

SCHÖNROCK, ANA CAROLINA ; ZAGO FILHO, LUIZ ALBERTO ; ZENI, KAROLINE SILVA ; NETTO, CAIO OLIVEIRA ;

Pôster:

Anterior uveitis is the main ophthalmologic complication in patients with juvenile idiopathic arthritis, however there are other complications such as retinal vasculitis present in approximately 2.5% of JIA patients. We report a case of retinal vasculitis in a girl with JIA, which despite the institution of early treatment, visual loss was important.

Case report

L.H., female, 11 years, 60kg, diagnosis of JIA from 3 years of age with ocular complication (visual eye loss) by chronic anterior uveitis. It was attended in March 2019 by a picture of arthritis in both knees and decreased visual acuity in the left eye with onset 6 months ago, HSV: 38, PCR: 12, FAN 1/320 nuclear fine dense dotted, negative FR. He was using methotrexate 6cp / week, folic acid 2cp / week and presnisone 5mg / day. In the laboratory of 03/22/2019 the result of the test of Hemosedimentação Speed: 38, C-Reactive Protein: 12 and Positive Anti-Nuclear Factor was demonstrated, demonstrating an active state of the disease. After a month, she developed orbital hyperemia, pain and loss of visual acuity in the right eye and retinography evidencing retinal vasculitis (Fig 1). Patient received pulse of methylprednisolone 1gr / day for three days, prednisone 1mg / kg and Adalimumab.

Conclusion

Ophthalmologic evaluation in patients with JIA should be careful and rigorous in order to not only diagnose anterior uveitis, but also other complications such as retinal vasculitis.

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DOI: 10.5151/sbr2019-227

Referências bibliográficas
Como citar:

SCHÖNROCK, ANA CAROLINA; ZAGO FILHO, LUIZ ALBERTO; ZENI, KAROLINE SILVA; NETTO, CAIO OLIVEIRA; "RETINAL VASCULITIS IN JUVENILE IDIOPATHIC ARTHRITIS", p. 227 . In: Anais do 36º Congresso Brasileiro de Reumatologia. [ISBN 978-85-212-1892-0]. São Paulo: Blucher, 2019.
ISSN 2357-7282, DOI 10.5151/sbr2019-227

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