| Pitfalls in the management of TB-associated uveitis. | |
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MedLine Citation:
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PMID: 20706283 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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AIM: The aim of this study is to highlight the pitfalls in the diagnosis and management of tuberculosis (TB)-associated uveitis. METHODS: This is a retrospective review of case records of four patients with TB-associated uveitis. RESULTS: In cases 1 and 2, failure to treat tubercular uveitis with anti-tubercular therapy (ATT) and unopposed steroid therapy led to a serious systemic consequence--development of intra-cranial tuberculoma. In case 4, similar failure to initiate ATT caused recurrent disease (focal choroiditis) in the eye. All four cases showed appearance of new lesions or worsening of existing lesions in the eye, following initiation of ATT. Such paradoxical reactions resolved by adding/increasing corticosteroid therapy. CONCLUSION: TB-associated uveitis needs a strong index of suspicion for diagnosis and a combined anti-tubercular plus anti-inflammatory therapy for successful outcome. |
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Authors:
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S Basu; T Das |
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Publication Detail:
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Type: Journal Article Date: 2010-08-13 |
Journal Detail:
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Title: Eye (London, England) Volume: 24 ISSN: 1476-5454 ISO Abbreviation: Eye (Lond) Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-11-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703986 Medline TA: Eye (Lond) Country: England |
Other Details:
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Languages: eng Pagination: 1681-4 Citation Subset: IM |
Affiliation:
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Retina-Vitreous Services, LV Prasad Eye Institute, Bhubaneswar, India. basu@lvpei.org |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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