01620nas a2200241   4500000000100000008004100001653001200042653001200054653002400066653001800090653002100108100001400129700001200143700001600155700001100171700001400182245006500196856007700261300001200338490000700350520100700357022001401364       2017                            d10aUveitis10aleprosy10alepromatous leprosy10aIridocyclitis10aErythema Nodosum1 aKaushik J1 aJain VK1 aParihar JKS1 aDhar S1 aAgarwal S00aLeprosy Presenting with Iridocyclitis: A Diagnostic Dilemma.  uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644414/pdf/JOVR-12-437.pdf  a437-4390 v123 a<p><strong>PURPOSE: </strong>To report a case of lepromatous iridocyclitis that posed a diagnostic challenge.</p>

<p><strong>CASE REPORT: </strong>A 50-yeasr-old male developed profound loss of vision in the right eye, while he was in the hospital with septicemia presenting with fever, dysuria, and abdominal swelling. He also developed erythema nodosum on the legs. Skin incisional biopsy section, upon dermatology consultation, showed a granulomatous nodule in the dermis. The anterior chamber aspirate demonstrated lepra bacilli, which confirmed the diagnosis of lepromatous leprosy with type II reaction. The patient was treated with multidrug therapy and oral and topical steroids.</p>

<p><strong>CONCLUSION: </strong>This case highlights that the lepromatous iridocyclitis, a serious vision-threatening disorder requires a high index of suspicion for prompt diagnosis in atypical cases particularly in endemic areas. Examination of the aqueous humor can also be helpful in diagnosis.</p>
  a2008-2010