Nessmann A, Klein R, Herzer P, Zierhut M
Universitäts-Augenklinik Tübingen, Eberhard Karls Universität Tübingen, Elfriede-Aulhorn-Straße 7, 72076, Tübingen, Deutschland.
Immunpathologisches Labor, Eberhard Karls Universität Tübingen, Otfried-Müller-Straße 10, 72076, Tübingen, Deutschland.
Ophthalmologe. 2017 Dec;114(12):1155-1157. doi: 10.1007/s00347-016-0431-5.
Two children from the same neighbourhood presented with concomitant granuloma annulare (GA) and intermediate uveitis (IU) at an interval of 2 weeks. A coincidence seemed unlikely, as IU is very rare in children and even more so in connection with GA. Thorough diagnosis was performed to exclude other associated diseases. No systemic disease, no special features of vaccination or medication, no history of infection, and no toxic cause could be found. An association between GA and IU based on other, as yet undiagnosed factors, is still possible. Therefore, when evaluating patients with newly diagnosed IU, clinical work-up should also include medical history and examination to rule out GA.
来自同一社区的两名儿童在间隔2周的时间里先后出现了环状肉芽肿(GA)和中间葡萄膜炎(IU)。由于IU在儿童中非常罕见,与GA同时出现的情况更是少见,所以这似乎不太可能是巧合。进行了全面诊断以排除其他相关疾病。未发现全身性疾病、疫苗接种或用药的特殊情况、感染史以及中毒原因。基于其他尚未明确的因素,GA和IU之间仍有可能存在关联。因此,在评估新诊断为IU的患者时,临床检查还应包括病史询问和检查,以排除GA。