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Case Reports
. 2023 Jun;27(3):151-153.
doi: 10.1016/j.jaapos.2023.02.006. Epub 2023 May 11.

Bilateral keratouveitis associated with COVID-19 multisystem inflammatory syndrome in children

Affiliations
Case Reports

Bilateral keratouveitis associated with COVID-19 multisystem inflammatory syndrome in children

Ramez Barbara et al. J AAPOS. 2023 Jun.

Abstract

We report the case of a 16-year-old girl admitted to hospital with multisystem inflammatory syndrome in children (MIS-C) secondary to COVID-19. Conjunctivitis-like symptoms prompted ocular examination, which demonstrated peripheral confluent corneal opacities and anterior uveitis. Uveitis laboratory investigations were negative, and with topical steroid treatment her signs and symptoms resolved completely. These features may be overlooked in the setting of MIS-C, where patients are systemically unwell and are typically examined at the bedside.

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Figures

Fig 1
Fig 1
A-B, Slit lamp photographs showing peripheral confluent corneal opacities in all quadrants (arrows) in the right eye (A) and left eye (B). C-D, Fine slit beam demonstrating the anterior position of the opacities in the right eye (C) and left eye (D).

References

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    1. Chiotos K., Hayes M., Kimberlin D.W., et al. Multicenter initial guidance on use of antivirals for children with COVID19/SARS-CoV-2. J Pediatric Infect Dis Soc. 2020 Dec 31;9:701–715. - PMC - PubMed
    1. Centers for Disease Control and Prevention Information for Healthcare Providers about Multisystem Inflammatory Syndrome in Children (MIS-C) https://www.cdc.gov/mis-c/hcp/ Available at.
    1. Wong Chung J.E.R.E., Engin Ö., Wolfs T.F.W., Renson T.J.C., de Boer J.H. Anterior uveitis in paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2. Lancet. 2021;397(10281):e10. - PMC - PubMed
    1. Karthika I.K., Gulla K.M., John J., et al. COVID-19 related multi-inflammatory syndrome presenting with uveitis—a case report. Indian J Ophthalmol. 2021;69:1319–1321. - PMC - PubMed

Publication types

Supplementary concepts