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Peripheral ulcerative keratitis associated with chronic malabsorption syndrome and miliary tuberculosis in a child

A 16-year-old girl presented with pain, redness, watering, and blurring of vision in her right eye. Slit lamp examination revealed the presence of peripheral ulcerative keratitis (PUK) and nodular scleritis. On clinical examination, the patient had stunted growth, low body mass index, and enlarged a...

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Autores principales: Arora, Tarun, Sharma, Namrata, Shashni, Adarsh, Titiyal, Jeewan S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4738673/
https://www.ncbi.nlm.nih.gov/pubmed/26903734
http://dx.doi.org/10.4103/0974-620X.169888
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author Arora, Tarun
Sharma, Namrata
Shashni, Adarsh
Titiyal, Jeewan S.
author_facet Arora, Tarun
Sharma, Namrata
Shashni, Adarsh
Titiyal, Jeewan S.
author_sort Arora, Tarun
collection PubMed
description A 16-year-old girl presented with pain, redness, watering, and blurring of vision in her right eye. Slit lamp examination revealed the presence of peripheral ulcerative keratitis (PUK) and nodular scleritis. On clinical examination, the patient had stunted growth, low body mass index, and enlarged axillary nodes. Giardia cysts were present in the stool sample and histopathology of axillary lymph nodes showed caseating necrosis suggestive of tuberculosis (TB). A diagnosis of PUK with chronic malabsorption syndrome secondary to giardiasis and miliary TB was made. Oral metronidazole, anti-tubercular treatment, high protein diet and vitamin supplements were started. Topical steroids were started for peripheral ulcerative lesions following, which the PUK resolved.
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spelling pubmed-47386732016-02-22 Peripheral ulcerative keratitis associated with chronic malabsorption syndrome and miliary tuberculosis in a child Arora, Tarun Sharma, Namrata Shashni, Adarsh Titiyal, Jeewan S. Oman J Ophthalmol Case Report A 16-year-old girl presented with pain, redness, watering, and blurring of vision in her right eye. Slit lamp examination revealed the presence of peripheral ulcerative keratitis (PUK) and nodular scleritis. On clinical examination, the patient had stunted growth, low body mass index, and enlarged axillary nodes. Giardia cysts were present in the stool sample and histopathology of axillary lymph nodes showed caseating necrosis suggestive of tuberculosis (TB). A diagnosis of PUK with chronic malabsorption syndrome secondary to giardiasis and miliary TB was made. Oral metronidazole, anti-tubercular treatment, high protein diet and vitamin supplements were started. Topical steroids were started for peripheral ulcerative lesions following, which the PUK resolved. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4738673/ /pubmed/26903734 http://dx.doi.org/10.4103/0974-620X.169888 Text en Copyright: © 2015 Oman Ophthalmic Society http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution NonCommercial ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Arora, Tarun
Sharma, Namrata
Shashni, Adarsh
Titiyal, Jeewan S.
Peripheral ulcerative keratitis associated with chronic malabsorption syndrome and miliary tuberculosis in a child
title Peripheral ulcerative keratitis associated with chronic malabsorption syndrome and miliary tuberculosis in a child
title_full Peripheral ulcerative keratitis associated with chronic malabsorption syndrome and miliary tuberculosis in a child
title_fullStr Peripheral ulcerative keratitis associated with chronic malabsorption syndrome and miliary tuberculosis in a child
title_full_unstemmed Peripheral ulcerative keratitis associated with chronic malabsorption syndrome and miliary tuberculosis in a child
title_short Peripheral ulcerative keratitis associated with chronic malabsorption syndrome and miliary tuberculosis in a child
title_sort peripheral ulcerative keratitis associated with chronic malabsorption syndrome and miliary tuberculosis in a child
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4738673/
https://www.ncbi.nlm.nih.gov/pubmed/26903734
http://dx.doi.org/10.4103/0974-620X.169888
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