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Órgano Oficial del Colegio Mexicano de Alergia, Asma e Inmunología Pediátrica y de la Asociación Latinoamericana de Pediatría

2020, Number 2

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Alerg Asma Inmunol Pediatr 2020; 29 (2)

Chorioretinitis with macular involvement as a complication in Kikuchi-Fujimoto’s disease with overlapping systemic lupus erythematosus

Murguía PJG, Heras SR, García DM

Language: Spanish
References: 34
Page: 59-65
PDF size: 362.91 Kb.


ABSTRACT

Introduction: Kikuchi-Fujimoto’s disease (KFD), also known as Kikuchi histiocytic necrotizing lymphadenitis, is a rare and benign condition of unknown cause. In the literature, there are reports of cases of systemic lupus erythematosus (SLE) in coexistence with EKF, and it is controversial whether it represents a clinical manifestation of SLE or a concomitant process. Although this association is rare, there may be unusual manifestations. Case report: A 16-year-old female with a diagnosis of EKF overlap with SLE who developed as an acute complication chorioretinitis with macular involvement of the left eye. She was treated with methylprednisolone boluses, immunosuppressant and intravitreal steroid application, currently with remission of systemic symptoms and an important decrease in visual acuity of the left eye. Conclusion: Eye involvement should be considered in the initial evaluation of systemic, autoimmune or overlapping diseases to avoid complications that may be irreversible.


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