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Panuveitis simulating ocular Behçet's in cases of chronic myelogenous leukaemia in remission.
- Source :
-
BMJ case reports [BMJ Case Rep] 2017 Nov 23; Vol. 2017. Date of Electronic Publication: 2017 Nov 23. - Publication Year :
- 2017
-
Abstract
- We report two patients with chronic myelogenous leukaemia (CML) in remission phase who developed panuveitis simulating Behçet's disease. A 26-year-old man presented with bilateral panuveitis (hypopyon in the right eye, bilateral anterior segment inflammation, vitritis and retinitis). He was on imatinib for CML which was in remission. He gave a history of recurrent oral ulcers. The panuveitis responded to oral and topical steroids but recurred after the steroids were stopped. His ocular condition again stabilised on restarting oral steroids and azathioprine. The second patient, a 28-year-old man, presented with bilateral anterior segment inflammation, vitritis, exudative retinal detachment and hypopyon in the right eye. He was also on imatinib with the CML being in remission. The uveitis and exudative retinal detachment improved on systemic and topical steroids. The vision of this patient did not improve as optic atrophy ensued. The panuveitis seen in our patients with CML responded favourably to oral steroids/immunosuppressant therapy.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
- Subjects :
- Adult
Antineoplastic Agents therapeutic use
Behcet Syndrome diagnosis
Diagnosis, Differential
Humans
Imatinib Mesylate therapeutic use
Immunosuppressive Agents administration & dosage
Leukemia, Myelogenous, Chronic, BCR-ABL Positive drug therapy
Maintenance Chemotherapy
Male
Oral Ulcer drug therapy
Oral Ulcer etiology
Panuveitis drug therapy
Panuveitis etiology
Retinal Detachment drug therapy
Retinal Detachment etiology
Steroids administration & dosage
Leukemia, Myelogenous, Chronic, BCR-ABL Positive complications
Panuveitis diagnosis
Retinal Detachment diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 2017
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 29170182
- Full Text :
- https://doi.org/10.1136/bcr-2017-222238