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Keratitis in Reactive Arthritis (Reiter Syndrome) in Childhood

Kozeis, Nikolaos MD, PhD*; Trachana, Maria MD, PhD†; Tyradellis, Straton MD*

doi: 10.1097/ICO.0b013e3182000916
Case Report

Purpose: To present a rare ocular manifestation of reactive arthritis (Reiter syndrome) in a child.

Methods: A 10-year-old girl who was admitted to our hospital with low-grade fever, arthritis, and aching left eye with blurred vision was diagnosed with Reiter reactive arthritis. At the time of admittance, the ophthalmologic examination revealed keratitis; this mildly affected the vision.

Results: Keratitis resolved under treatment with topical steroids and antibiotic drops after 1 month, without scarring. Although 75% of the patients with reactive arthritis present ophthalmic manifestations, keratitis is a very rare finding in reactive arthritis and even rarer in children.

Conclusions: It should be kept in mind that keratitis could be an ocular manifestation of reactive arthritis in young patients.

From the *Paediatric Eye Department and †Paediatric Immunology and Rheumatology Referral Center, First Department of Pediatrics, Hippokration Hospital of Thessaloniki, Greece.

Received for publication September 2, 2009; revision received September 9, 2010; accepted October 2, 2010.

Reprints: Straton Tyradellis, Paediatric Eye Department, Hippokration Hospital of Thessaloniki, Konstantinoypoleos 49, Thessaloniki, 54642 Greece (e-mail: styrmail-med@yahoo.gr).

© 2011 Lippincott Williams & Wilkins, Inc.