Bilateral Granulomatous Iridocyclitis Associated with Early-Onset Juvenile Psoriatic Arthritis

• Published in: Case reports in ophthalmological medicine Vol. 2022; p. 3990406
• Main Authors: Nieves-Ríos, Christian, Requejo Figueroa, Guillermo A, Ayala Rodríguez, Sofía C, Santiago-Díaz, Alejandra, Rodriguez-Garcia, Eduardo J, Perez, Alejandro L, Rivera-Grana, Erick, Figueroa-Díaz, Adriana C, Martín-García, Rafael, Oliver, Armando L
• Format: Report
• Language: English
• Published: 01.01.2022
• ISSN: 2090-6722
• DOI: 10.1155/2022/3990406

PurposeThe purpose of this study is to report on a case of bilateral granulomatous iridocyclitis in a patient with early-onset juvenile psoriatic arthritis (JPsA). MethodsThe method used is an observational case report. Observations. A 3-year-old Hispanic girl was sent to our uveitis service for further evaluation of her granulomatous uveitis. The initial ophthalmologic examination revealed bilateral band keratopathy, large mutton-fat keratic precipitates, multiple posterior synechiae, and 4+ anterior chamber cells. The physical exam was notable for left knee edema and right axillary rash. Laboratory testing was remarkable for an erythrocyte sedimentation rate of 80 mm/h, positive antinuclear antibodies (1 : 1, 280), and negative human leukocyte antigen B27. A cutaneous biopsy was obtained, which confirmed the diagnosis of a psoriatic rash. Treatment with oral prednisolone and topical prednisolone acetate with atropine sulfate resulted in the complete resolution of the uveitis. Conclusion and Importance. Bilateral granulomatous iridocyclitis may be a rare presentation of ocular involvement in patients with early-onset JPsA.