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Published on: February 8, 2019
Macular infarction associated with reactive arthritis
Ju-Young Kim1, Jong-Hyuck Lee, Ie-Na Yoon
1Department of Ophthalmology, Wonju Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.
Reactive arthritis, a condition causing joint inflammation, was linked to macular infarction, a vision-threatening condition, in a rare case. This study highlights a novel association between these two distinct medical conditions.
Area of Science:
- Ophthalmology
- Rheumatology
- Medical Case Reports
Background:
- Reactive arthritis is an inflammatory condition often triggered by infections.
- Ocular manifestations of reactive arthritis are uncommon, with few documented cases.
Observation:
- A 53-year-old woman presented with fever, chills, and bilateral knee pain, diagnosed with reactive arthritis.
- She subsequently developed decreased visual acuity in both eyes.
- Fundus examination revealed macular lesions suggestive of infarction.
Findings:
- The patient was diagnosed with bilateral macular infarction associated with reactive arthritis.
- No underlying disease or specific drug history contributed to the macular infarction.
- This represents a unique case report with no prior similar cases documented in literature.
Implications:
- This case suggests a potential, previously unreported link between reactive arthritis and macular infarction.
- Further research is warranted to explore the pathophysiology of this association.
- Ophthalmologists and rheumatologists should consider this association in patients presenting with unexplained visual disturbances and reactive arthritis.
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