A Clinical Case Report Including In Vivo Laser Confocal Microscopic Findings of Keratitis Complicated with Takayasu's Arteritis

Yukihiro Matsumoto, Hidekata Yasuoka, Yoshiyuki Ichihashi, Tetsuya Kawakita, Shigeto Shimmura, Kazuo Tsubota

Research output: Contribution to journalArticle

Abstract

BACKGROUND: We present a clinical case report including in vivo laser confocal microscopic findings of keratitis complicated with Takayasu's arteritis (aortitis syndrome).

CASE: A 47-year-old woman was referred to the outpatient clinic of ophthalmology with blurred vision in her both eyes at the onset of Takayasu's arteritis. Since multifocal infiltrates in the stromal corneas with injection were observed with slit-lamp biomicroscope in the both eyes, the diagnosis was keratitis. A large amount of cells infiltrating the stromal cornea and activated keratocytes were also observed with in vivo laser confocal microscope in the both eyes. Systemic and local steroidal agents were initiated, which resolved the keratitis, and the active lesions turned into mild corneal scars. In vivo laser confocal microscopy showed no infiltrating cells in the stromal cornea of both eyes. No recurrence has been observed since.

CONCLUSION : A rare case of keratitis complicated with Takayasu's arteritis is reported. An immune response to the stromal cornea as the etiology of the keratitis may be indicated by in vivo laser confocal microscopy.

Original languageEnglish
Pages (from-to)114-119
Number of pages6
JournalNippon Ganka Gakkai zasshi
Volume120
Issue number2
Publication statusPublished - 2016 Feb 1

ASJC Scopus subject areas

  • Medicine(all)

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