BACKGROUND: Uveitis is not often reported in patients with multiple sclerosis(MS) in Japan, but retinal vasculitis and pars planitis are common findings in uveitis patients with MS in the U.S. and European countries. CASE: A 50-year-old man developed bilateral granulomatous panuveitis 10 years after initial onset of MS. FINDINGS: Examination showed bilateral anterior uveitis with mutton fat keratic precipitate and retinal vasculitis for 360 degrees. The anterior uveitis responded well to topical corticosteroid but the retinal vasculitis did not. The possibility of sarcoidosis, tuberculosis, and other diseases associated with granulomatous uveitis were excluded by systemic examinations. CONCLUSION: We encountered a rare case of granulomatous panuveitis associated with MS.
BACKGROUND:Uveitis is not often reported in patients with multiple sclerosis(MS) in Japan, but retinal vasculitis and pars planitis are common findings in uveitispatients with MS in the U.S. and European countries. CASE: A 50-year-old man developed bilateral granulomatous panuveitis 10 years after initial onset of MS. FINDINGS: Examination showed bilateral anterior uveitis with mutton fat keratic precipitate and retinal vasculitis for 360 degrees. The anterior uveitis responded well to topical corticosteroid but the retinal vasculitis did not. The possibility of sarcoidosis, tuberculosis, and other diseases associated with granulomatous uveitis were excluded by systemic examinations. CONCLUSION: We encountered a rare case of granulomatous panuveitis associated with MS.