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Pediatric trochleitis associated with paranasal sinusitis: a case report
1Department of Ophthalmology, Nowon Eulji Medical Center, Eulji University School of Medicine, #68 Hangeulbiseok-ro, Nowon-gu, Seoul, Republic of Korea, 01830.
BMC Ophthalmology
|January 16, 2019
Summary
Trochleitis, or trochlear pain, can be linked to sinusitis in children. Prompt sinusitis treatment resolved a child's periorbital pain and trochlear inflammation, highlighting this important association.
Area of Science:
- Ophthalmology
- Pediatric Otolaryngology
- Pediatric Radiology
Background:
- Trochleitis is defined as trochlear pain with radiologic evidence of inflammation.
- The cause of trochleitis is typically idiopathic, with secondary causes being uncommon.
- Trochleitis associated with paranasal sinusitis in pediatric patients has not been previously documented.
Observation:
- An 8-year-old boy experienced left periorbital pain, localized tenderness over the trochlear region, and normal visual acuity/eye movements.
- Orbital MRI revealed left trochlear focal enhancement and ipsilateral paranasal sinusitis.
- Symptoms resolved completely with empirical sinusitis treatment, negating the need for local steroid injection.
Findings:
- The case demonstrates a potential link between paranasal sinusitis and pediatric trochleitis.
- Successful treatment of sinusitis led to the resolution of trochlear inflammation and pain.
- This suggests sinusitis as a treatable secondary cause of trochleitis in children.
Implications:
- Pediatricians and ophthalmologists should consider paranasal sinusitis in the differential diagnosis of pediatric trochleitis.
- Early diagnosis and treatment of sinusitis may prevent the need for more invasive treatments for trochleitis.
- This finding expands the understanding of secondary causes of trochleitis in the pediatric population.
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