Bilateral anterior uveitis following paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 - Case report and focused review.
Aliénor Vienne-JumeauAntoine Pierre BrézinAmina DebiebPublished in: Ocular immunology and inflammation (2022)
Paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS) is a systemic hyperinflammatory state described in children recently infected with SARS-CoV-2. Ophthalmologically, non-purulent conjunctival injection is the most common symptom, but cases of uveitis have been described. Here, we present a case of bilateral granulomatous anterior uveitis in a 10-year-old boy, 12 days after diagnosis of PIMS-TS. Symptoms resolved after a week of topical treatment and there was no relapse after six months. We carried out a focus review on uveitis in children with PIMS-TS and found eight studies. All in all, 21 children were reported with a median age of 11.5 years. Most of them had bilateral anterior inflammation, without synechiae nor hypertonia, which lasted five to seven days and responded well to the use of corticoids. This symptom is a potential predictor of a more severe disease and this link should be further explored.
Keyphrases
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- juvenile idiopathic arthritis
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- young adults
- case report
- oxidative stress
- respiratory syndrome coronavirus
- intensive care unit
- emergency department
- early onset
- systemic lupus erythematosus
- physical activity
- interstitial lung disease
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- climate change
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- smoking cessation
- case control