Episcleritis; and posterior uveitis misdiagnosed as orbital cellulitis in a child patient with Behçet's disease

Mohsen Jari; Shidrokh Nasiri; Mohammadreza Ghandehari

doi:10.1177/2050313X231182237

Episcleritis; and posterior uveitis misdiagnosed as orbital cellulitis in a child patient with Behçet's disease

SAGE Open Med Case Rep. 2023 Jun 29:11:2050313X231182237. doi: 10.1177/2050313X231182237. eCollection 2023.

Authors

Mohsen Jari¹, Shidrokh Nasiri², Mohammadreza Ghandehari²

Affiliations

¹ Department of Pediatric Rheumatology, Imam Hossein Children's Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
² School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Abstract

Behçet's disease is a chronic multisystem vasculitis that presented with several manifestations. Episcleritis is a benign inflammation of the episcleral tissue and is rarely reported in Behçet's disease. We reported an 11-year-old girl who was admitted due to pain and swelling around the left eye with initial diagnosis of preseptal cellulitis. The patient had a history of recurrent oral aphthous ulcers and genital ulcers. Episcleritis and posterior uveitis were reported in ophthalmic examination and ultrasonography. Pathergy skin test and human leukocyte antigens (HLA) B5 and HLA-B51 were positive, consistent with the diagnosis of Behcet's disease. This case report emphasizes that various pathological causes may cause episcleritis and uveitis in children, one of which is rheumatic diseases, that should always be considered.

Keywords: Behçet’s disease; case report; episcleritis; uveitis.

Publication types

Case Reports