Bilateral peripheral ulcerative keratitis in a child with juvenile idiopathic arthritis

Area of Science:

• Ophthalmology
• Rheumatology
• Pediatrics

Background:

• Peripheral ulcerative keratitis (PUK) is an inflammatory eye condition causing corneal thinning and potential vision loss.
• It is frequently associated with systemic autoimmune disorders and typically affects middle-aged females.

Observation:

• A unique case of a 13-year-old female presenting with bilateral PUK is described.
• The patient was later diagnosed with juvenile idiopathic arthritis.

Findings:

• The case highlights the importance of recognizing PUK's ocular manifestations in younger individuals.
• Bilateral PUK in a pediatric patient was successfully managed with systemic methotrexate and topical cyclosporine.

Implications:

• This case underscores the need for heightened awareness of PUK in pediatric autoimmune conditions.
• Prompt diagnosis and multidisciplinary management are vital for preserving vision in affected children.