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[Choroiditis and Crohn disease: a case report].
J Delmas1, J-P Adenis, P-Y Robert
1Service d'ophtalmologie, CHU de Limoges, 2, avenue Martin-Luther-King, 87000 Limoges, France. juliettedelmas@wanadoo.fr
Journal Francais D'Ophtalmologie
|May 13, 2011
Summary
This case highlights a rare posterior uveitis manifestation in Crohn disease (CD). The patient presented with choroiditis, suggesting inflammation or ischemia in the posterior segment of the eye.
Area of Science:
- Ophthalmology
- Gastroenterology
- Immunology
Background:
- Crohn disease (CD) is a chronic inflammatory bowel disease.
- Extradigestive manifestations are common, with ocular involvement frequently observed.
- Posterior segment inflammation, such as choroiditis, is an unusual presentation in CD.
Observation:
- A 42-year-old woman with a one-year history of Crohn disease developed unilateral choroiditis.
- Ophthalmic imaging revealed findings suggestive of ampiginous choroiditis.
- Indocyanine green (ICG) angiography showed a significant choroidal hypoperfusion pattern.
Findings:
- The case presents a rare instance of posterior uveitis in a Crohn disease patient.
- Diagnostic imaging suggested an inflammatory or ischemic etiology affecting the choroid.
- Histological confirmation of Crohn disease was established.
Implications:
- This case expands the spectrum of ocular manifestations associated with Crohn disease.
- It underscores the importance of considering Crohn disease in patients with unexplained posterior uveitis.
- Potential mechanisms include direct inflammatory cell infiltration or focal choroidal ischemia.
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