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BRIEF COMMUNICATION
Year : 2015  |  Volume : 3  |  Issue : 2  |  Page : 102-104

Bilateral disciform keratitis: A rare feature of Reiter's syndrome


Department of Ophthalmology, Bharati Hospital and Research Centre, Bharati Vidyapeeth Deemed University Medical College, Pune, Maharashtra, India

Correspondence Address:
Tejaswini P Khandgave
New Staff Quarters, Bharati Vidyapeeth Campus, Bharati Vidyapeeth Deemed University Medical College, Dhankawadi, Pune - 411 043, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2320-3897.156605

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Reiter's syndrome is a relatively rare seronegative spondyloarthropathy characterized by a triad of urethritis, arthritis, and conjunctivitis. Human leukocyte antigen B27 (HLA B27) is positive in over two-thirds of the patients. Involvement of the cornea in the form of a bilateral disciform keratitis in a first episode of Reiter's is an extremely rare feature, with only one previous report. Other report indicates the occurrence of disciform keratitis in patients with chronic recurring episodes of Reiter's syndrome. We report acase of a young girl who developed bilateral disciform keratitis against a clinical background of arthritis of the left knee. There was preceding history of acute infective diarrhea, 1 month earlier. Initially, the keratitis was thought to be viral, but response to antiviral treatment was poor. A clinical suspicion of Reiter's syndrome was confirmed by a positive HLA B27 test. Definitive treatment with steroids and sulfasalazine resulted in resolution of the keratitis.


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