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Recurrent Poststreptococcal Uveitis
Arch Ophthalmol. 1999;117:1649-1650.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Poststreptococcal syndrome (PSS) involves the development of systemic nonsuppurative inflammation after a streptococcal infection. The inflammation is sterile and thought to represent an autoimmune reaction between streptococcus-sensitized lymphocytes and host tissue because of "molecular mimicry."1 Common manifestations of PSS include acute rheumatic fever, reactive arthritis, and acute glomerulonephritis. Recently, uveitis was described as a sign of PSS.2-4 This intraocular inflammation also develops after the bacterial infection. One report claims PSS uveitis can be recurrent.4 Herein, we confirm the findings of that single case and report that the length of time between episodes may be as long as 27 months.
Report of a Case
A 10-year-old white boy developed photophobia, ocular redness, and blurred vision bilaterally following an episode of streptococcal pharyngitis. Medical history was otherwise noncontributory. Examination noted vision of 20/80 OU with 3+ cells in the anterior chambers. Workup revealed an elevated antistreptolysin O (ASO) titer (760 IU/mL) (normal range, 0-125 IU/mL) and . . . [Full Text of this Article] Comment
Reprints: Thomas B. Connor, Jr, MD, The Eye Institute, 925 N 87th St, Milwaukee, WI 53226 (e-mail:tconnor@mcw.edu).
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