Peripheral ulcerative keratitis in a patient with systemic-onset juvenile idiopathic arthritis.

The recognition of ocular manifestations in juvenile idiopathic arthritis is critical. The authors report an unusual manifestation of corneal involvement in a 10-year-old girl with systemic-onset juvenile idiopathic arthritis who presented with unilateral peripheral ulcerative keratitis during arthritis exacerbation. Corneal inflammation was successfully managed with topical steroids, oral methylprednisolone, and methotrexate. Copyright 2010, SLACK Incorporated.