PURPOSE: To report a case of lepromatous iridocyclitis that posed a diagnostic challenge.
CASE REPORT: 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.
CONCLUSION: 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.
BT - Journal of ophthalmic & vision research C1 -http://www.ncbi.nlm.nih.gov/pubmed/29090057?dopt=Abstract
DO - 10.4103/jovr.jovr_155_15 IS - 4 J2 - J Ophthalmic Vis Res LA - eng N2 -PURPOSE: To report a case of lepromatous iridocyclitis that posed a diagnostic challenge.
CASE REPORT: 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.
CONCLUSION: 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.
PY - 2017 SP - 437 EP - 439 T2 - Journal of ophthalmic & vision research TI - Leprosy Presenting with Iridocyclitis: A Diagnostic Dilemma. UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644414/pdf/JOVR-12-437.pdf VL - 12 SN - 2008-2010 ER -