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Atopic optic neuritis.

C S Constantinescu1, M Thomas, A G Zaman

  • 1Department of Neurology, University Hospital, Queen's Medical Centre, Nottingham, UK. cris.constantinescu@nottingham.ac.uk

Ocular Immunology and Inflammation
|April 7, 2006
PubMed
Summary
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A man with severe atopic dermatitis developed optic neuritis. This condition, linked to atopic dermatitis, may be the optic nerve equivalent of atopic myelitis.

Area of Science:

  • Neuro-immunology
  • Ophthalmology
  • Dermatology

Background:

  • Atopic dermatitis is a chronic inflammatory skin condition.
  • Atopic myelitis, a rare neurological manifestation of atopic dermatitis, has been reported.
  • Optic nerve involvement in atopic dermatitis is not well-characterized.

Observation:

  • A 34-year-old male with severe atopic dermatitis presented with bilateral optic neuritis.
  • The patient exhibited highly elevated serum IgE levels and high titers of mite-specific IgE.
  • Ophthalmological symptoms fluctuated in parallel with the severity of his atopic dermatitis.

Findings:

  • The patient's optic neuritis responded well to steroid treatment.
  • Clinical presentation and parallel fluctuations suggest a strong link between optic neuritis and atopic dermatitis.

Related Experiment Videos

  • This case suggests a potential optic nerve manifestation of atopic disease, termed atopic optic neuritis.

    • Implications:

    • This case highlights a potential new neurological complication of severe atopic dermatitis.
    • Atopic optic neuritis may be the optic nerve counterpart to atopic myelitis.
    • Further research is warranted to understand the pathogenesis and prevalence of atopic optic neuritis.