Lyons Christopher J, AlQahtani Elham, Tsang Hughie, Moloney Gregory T, Gardiner Jane
J Pediatr Ophthalmol Strabismus. 2016 Dec 8;53:e61-e63. doi: 10.3928/01913913-20161027-01.
Reactive arthritis is occasionally associated with conjunctivitis and uveitis, but rarely keratitis. The authors describe a patient with paracentral anterior stromal keratitis with overlying epithelial erosion and multiple satellite subepithelial infiltrates. The initial appearance and the severe pain were suggestive of an infectious process. Recovery was rapid following introduction of topical steroid, with features suggesting an immune process in the recovery phase. The authors suggest that a history of arthritis and/or recent enteritis should be sought in the work-up of an atypical keratitis with or without epithelial defect. [J Pediatr Ophthalmol Strabismus. 2016;53:e61-e63.].
反应性关节炎偶尔与结膜炎和葡萄膜炎相关，但很少与角膜炎相关。作者描述了一名患有中央旁前基质性角膜炎的患者，伴有上皮糜烂和多个卫星状上皮下浸润。最初的表现和严重疼痛提示为感染性过程。局部应用类固醇后恢复迅速，恢复阶段的特征提示为免疫过程。作者建议，在对伴有或不伴有上皮缺损的非典型角膜炎进行检查时，应询问关节炎和/或近期肠炎病史。[《小儿眼科与斜视杂志》。2016年；53:e61-e63。]
