Jaya Kaushik1,2, Vaibhav Kumar Jain3, Jitendra Kumar Singh Parihar4, Sanjay Dhar4, Savita Agarwal5. 1. Department of Ophthalmology, Military Hospital Pathankot, Punjab, India. 2. Department of Ophthalmology, Command Hospital Chandimadir, Panchkula, Haryana, India. 3. Department of Ophthalmology, Uttar Pradesh University of Medical Sciences (U.P.U.M.S.), Saifai, Etawah, India. 4. Department of Ophthalmology, Army Hospital, Research and Referral, Delhi Cantt., India. 5. Department of Pathology, Uttar Pradesh University of Medical Sciences (U.P.U.M.S.), Saifai, Etawah, India.
Abstract
PURPOSE: To report a case of lepromatous iridocyclitis that posed a diagnostic challenge. CASE REPORT: A 50-yeasr-old male developed profound loss of vision in the right eye, while he was in the hospital with septicemia presenting with fever, dysuria, and abdominal swelling. He also developed erythema nodosum on the legs. Skin incisional biopsy section, upon dermatology consultation, showed a granulomatous nodule in the dermis. The anterior chamber aspirate demonstrated lepra bacilli, which confirmed the diagnosis of lepromatous leprosy with type II reaction. The patient was treated with multidrug therapy and oral and topical steroids. CONCLUSION: This case highlights that the lepromatous iridocyclitis, a serious vision-threatening disorder requires a high index of suspicion for prompt diagnosis in atypical cases particularly in endemic areas. Examination of the aqueous humor can also be helpful in diagnosis.
PURPOSE: To report a case of lepromatous iridocyclitis that posed a diagnostic challenge. CASE REPORT: A 50-yeasr-old male developed profound loss of vision in the right eye, while he was in the hospital with septicemia presenting with fever, dysuria, and abdominal swelling. He also developed erythema nodosum on the legs. Skin incisional biopsy section, upon dermatology consultation, showed a granulomatous nodule in the dermis. The anterior chamber aspirate demonstrated lepra bacilli, which confirmed the diagnosis of lepromatous leprosy with type II reaction. The patient was treated with multidrug therapy and oral and topical steroids. CONCLUSION: This case highlights that the lepromatous iridocyclitis, a serious vision-threatening disorder requires a high index of suspicion for prompt diagnosis in atypical cases particularly in endemic areas. Examination of the aqueous humor can also be helpful in diagnosis.
Authors: Tajamul Khan; Abdul Aziz Awan; Hasan Sajid Kazmi; Ashfaq Ali Shah; Sardar Muhammad; Shad Muhammad Journal: J Ayub Med Coll Abbottabad Date: 2002 Oct-Dec