타카야수동맥염 환자에서 발생한 포도막염 및 각막염 1예
Anterior Uveitis and Keratitis in Takayasu’s Arteritis
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목적: 타카야수 동맥염 환자에서 동시 발생한 포도막염 및 각막염 1예를 보고하고자 한다. 증례요약: 22세 여환 양안 충혈 및 시력저하를 주소로 내원하였다. 10년 전 타카야수 동맥염을 진단받았으며, 다른 전신질환 및 안질환의 병력은 없었다. 환자는 상기도 감염이나 생리 전에 안 증상이 더 심해짐을 호소하였다. 안과적 검사에서 좌안 및 우안의 각막 부종,결막 충혈 및 전방염증 소견을 보였다. 내과 협진 의뢰하여 타카야수 동맥염 확진 후 병행 치료를 시작하였으며, 안과적으로 스테로이드 점안 및 복용 후 증상 호전을 보였다. 결론: 타카야수 동맥염 환자에서 반복적인 시력 저하 및 각막 부종 발생 시 타카야수 동맥염으로 인한 포도막염과 각막염의 발생을고려해야 한다.
Abstract
Purpose: To report a rare case of simultaneous uveitis and keratitis in Takayasu’s arteritis. Case summary: A 22-year-old woman presented with complaints of redness and decrease in vision in both eyes. The patient was diagnosed a decade earlier as having Takayasu’s arteritis. No other systemic or ophthalmic abnormalities were found. She complained of ophthalmic symptom aggravation during an upper respiratory infections and before menstruation. Bilateral corneal edema, conjunctival injection, and anterior uveitis were observed on slit-lamp examination. Concurrent treatments were started in consultation with an internist. Steroid eye drop and steroid systemic administration relieved the ocular pain and symptoms. Conclusions: When a patient presents with recurrent red eyes and visual disturbances with Takayasu’s ateritis, simultaneous uveitis and keratitis due to Takayasu’s arteritis should be considered as a possible diagnosis.
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