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Bilateral optic neuritis as an atypical presentation of juvenile Behcet syndrome: A case report
Armin Adibi1,2, Iman Adibi1,2, Saeed Bahramian1,2
1Neuroscience Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract:
Behcet syndrome is a systemic vasculitis characterized by relapsing uveitis, oral aphthous, and genital ulcers. We present a rare case of a 14-year-old male with juvenile Behcet syndrome (JBS) presenting as bilateral optic neuritis with oral aphthous. Initial treatment with methylprednisolone did not improve the patient's condition. Serum plasmapheresis was performed, resulting in improved visual acuity and papillitis. The patient was discharged with azathioprine, which led to symptom regression. This case highlights the atypical neurologic presentation of JBS and the potential efficacy of plasma exchange in refractory cases.
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