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Unique presentation of 3rd and 6th cranial nerve palsies, nodular scleritis and nummular keratouveitis in an immunocompetent patient following an attack of herpes zoster ophthalmicus.
- Source :
-
Ocular immunology and inflammation [Ocul Immunol Inflamm] 2012 Oct; Vol. 20 (5), pp. 365-7. Date of Electronic Publication: 2012 Jul 13. - Publication Year :
- 2012
-
Abstract
- Aim: To report a unique presentation of 3rd and 6th cranial nerve palsies with nodular scleritis and nummular keratouveitis following an attack of herpes zoster ophthalmicus (HZO).<br />Methods: Case report.<br />Case Report and Results: A 56-year-old woman with a 1-month history of HZO presented with drooping of the right upper eyelid, diplopia, and pain around the right eye. She was noted to have right 3rd and 6th cranial nerve palsies. She developed nodular scleritis and nummular keratouveitis at 2 and 4 months follow-up, respectively, which were treated with antivirals and steroids. At 10 months follow-up, although the diplopia in right lateral gaze persisted, there was no recurrence of ocular inflammation with complete recovery of ptosis.<br />Conclusions: A unique presentation of multiple cranial nerve palsies with nodular scleritis and nummular keratouveitis in an immunocompetent patient following an attack of HZO is highlighted in this report.
- Subjects :
- 2-Aminopurine analogs & derivatives
2-Aminopurine therapeutic use
Abducens Nerve Diseases drug therapy
Acyclovir therapeutic use
Antiviral Agents therapeutic use
Diplopia drug therapy
Diplopia virology
Drug Therapy, Combination
Famciclovir
Female
Glucocorticoids therapeutic use
Herpes Zoster Ophthalmicus drug therapy
Humans
Middle Aged
Oculomotor Nerve Diseases drug therapy
Prednisolone therapeutic use
Treatment Outcome
Uveitis drug therapy
Abducens Nerve Diseases virology
Herpes Zoster Ophthalmicus virology
Oculomotor Nerve Diseases virology
Scleritis virology
Uveitis virology
Subjects
Details
- Language :
- English
- ISSN :
- 1744-5078
- Volume :
- 20
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Ocular immunology and inflammation
- Publication Type :
- Report
- Accession number :
- 22794781
- Full Text :
- https://doi.org/10.3109/09273948.2012.701702