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- Title
THE DETERMINING FACTORS OF UVEITIS -- CASE REPORT.
- Authors
Papici, Maria Teodora; Păpuc, Bianca Daria; Bot, Luiza
- Abstract
Introduction: Uveitis is an ocular inflammatory condition affecting the uveal tract, characterized by vision changes and eye pain. One of the main causes is sarcoidosis, and among the risk factors are various infections, including Lyme disease. The objective of the case is to observe how Lyme disease can trigger or worsen uveitis in the context of an autoimmune disease, such as sarcoidosis. Case Report: A 43-year-old patient presents for a dermatological check-up with a non-pruritic violaceous papules on the left knee, without any other complaints. Following a biopsy, histopathologic examination revealed a granulomatous infiltrate, leading to the diagnosis of cutaneous sarcoidosis. After a thoracic radiographic examination, pulmonary infiltrates specific to sarcoidosis were identified. Despite the results, respiratory tests did not show any abnormalities. Therefore, in the absence of other symptoms, active monitoring of the disease without systemic treatment was decided. Three years later, the patient returns with blurred vision, intraocular foreign body sensation. An ophthalmologic examination establishes the diagnosis of uveitis. After further investigations, antibodies against Borrelia burgdorferi were tested and found to be positive for both IgG and IgM. Discussions : In this patient's case, it is still under investigation whether the cause of uveitis is sarcoidosis or a previous or active Lyme disease. Conclusions: It is decided for the patient to follow a symptomatic treatment, and to repete the immunology tests for Borrelia 3 months later in order to establish if it is an acute or chronic infection.
- Subjects
ROMANIA; SARCOIDOSIS diagnosis; UVEITIS; RISK assessment; IMMUNOGLOBULINS; CONFERENCES &; conventions; LYME disease; DISEASE risk factors; DISEASE complications
- Publication
Acta Marisiensis. Seria Medica, 2024, Vol 70, p264
- ISSN
2668-7755
- Publication type
Article