Posterior Scleritis in a Pediatric Patient with IgA Vasculitis

To report a boy with IgA vasculitis (IgAV), who suffered two episodes of Posterior Scleritis (PS). This is the first reported case of this association.

Case report based on medical record review.

A 13-year-old boy with IgAV presented with left eye (LE) pain. Although the eye examination was unremarkable, Magnetic resonance imaging (MRI) revealed PS; appropriate treatment was initiated, resulting in an excellent response. Later, a similar episode occurred in the right eye (RE) accompanied by a violaceus papule on the tip of the nose.

PS may be associated with IgAV in children. MRI was crucial to detect the PS in this case. Nonsteroidal anti-inflammatory drugs (NSAIDs) were effective first-line treatment.