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Adenotonsillectomy as a treatment option for poststreptococcal uveitis
Alexander Ovchinsky1, Susan Schulman, Richard M Rosenfeld
1Department of Otolaryngology, State University of New York Health Science Center at Brooklyn, USA. ovchinsa@hotmail.com
Objectives:
To report recurrent uveitis as a manifestation of poststreptococcal syndrome and discuss a role of adenotonsillectomy as a treatment option.
Study Design:
Case study.
Methods:
A case report of a 6-year-old, otherwise healthy girl with group A streptococcal uveitis managed successfully with adenotonsillectomy.
Results:
In the year after surgery there were only two episodes of uveitis, contrasted with a preoperative 3-year history of 8 to 10 annual episodes despite corticosteroid therapy. Moreover, as a result of the postoperative improvement the child was able to avoid impending methotrexate therapy.
Conclusions:
Although the role of tonsillectomy in managing poststreptococcal uveitis is unknown, our results suggest a positive impact independent of the baseline tonsillitis frequency. Otolaryngologists should be aware of these uncommon sequelae of streptococcal infection and the potential role of tonsillectomy in treatment.