Journal List > J Korean Ophthalmol Soc > v.56(7) > 1010036

Jang, Yang, and Choi: Uveitis in Both Eyes Associated with Sweet’s Syndrome

Abstract

Purpose:

To report a case of uveitis in both eyes caused by Sweet’s syndrome.

Case summary:

A 66-year-old male presented with decreased visual acuity in his left eye. Three years prior he was diagnosed with Sweet’s syndrome, with symptoms such as chill, fever and, maculopapular rash on the chest. At initial physical examination, he had 3 or 4+ inflammatory cells and flare in the anterior chambers of both eyes, as well as hypopyon in his left eye. Under the suspicion of uveitis caused by Sweet’s syndrome, he was rescribed an IV steroid injection and topical steroid agent. Three days later, his visual acuity improved to 0.3 in the right eye and 0.2 in the left eye. Hypopyon in the left eye disappeared and in-flammatory cells decreased to 1~2+. He showed signs of recurrence in both eyes after 5 months and was treated with posterior subtenon triamcinolone injection in each eye. The patient showed no signs of recurrence for 10 months after injection.

Conclusions:

We report a case of uveitis caused by Sweet’s syndrome treated with a steroid agent resulting in good prognosis. To the best of our knowledge, this is first case of uveitis caused by Sweet’s syndrome reported in Korea.

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Figure 1.
Ill-defined plaques and papules on the trunk (circles).
jkos-56-1122f1.tif
Figure 2.
Histopathology of the skin demonstrating mixed sep-tal and lobular panniculitis with many neutrophilic infiltration (hematoxylin-eosin, magnification 100x).
jkos-56-1122f2.tif
Figure 3.
Hypopion in the left eye at the initial outpatient visit (arrow).
jkos-56-1122f3.tif
Figure 4.
B scan showing inflammatory cells in the vitreous cavity demonstrating posterior uveitis. (A) Right eye. (B) Left eye.
jkos-56-1122f4.tif
Figure 5.
Fluororescein angiography showing optic disc hyperfluorescence at the latent period. (A) Right eye. (B) Left eye.
jkos-56-1122f5.tif
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