Ophthalmological treatment of early-onset sarcoidosis/Blau syndrome in a Colombian child: A case report

Purpose: To report the ophthalmological approach of a patient with Blau syndrome (BS) in Colombia. Observations: We describe a 9-year-old Colombian boy with sporadic BS due to a de novo nucleotide-binding oligomerization domain containing 2 (NOD2) mutation, who presented with joint and dermatologic...

Full description

Bibliographic Details
Main Authors: María Alejandra Marín-Noriega, M.D., Juliana Muñoz-Ortiz, M.D., Catalina Mosquera, M.D., Alejandra de-la-Torre, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993619301203
_version_ 1818597606841909248
author María Alejandra Marín-Noriega, M.D.
Juliana Muñoz-Ortiz, M.D.
Catalina Mosquera, M.D.
Alejandra de-la-Torre, M.D., Ph.D.
author_facet María Alejandra Marín-Noriega, M.D.
Juliana Muñoz-Ortiz, M.D.
Catalina Mosquera, M.D.
Alejandra de-la-Torre, M.D., Ph.D.
author_sort María Alejandra Marín-Noriega, M.D.
collection DOAJ
description Purpose: To report the ophthalmological approach of a patient with Blau syndrome (BS) in Colombia. Observations: We describe a 9-year-old Colombian boy with sporadic BS due to a de novo nucleotide-binding oligomerization domain containing 2 (NOD2) mutation, who presented with joint and dermatologic symptoms. He was referred to the uveitis service with a single functional eye, due to retinal detachment in the other eye. Despite treatment with corticosteroids, methotrexate, and adalimumab, the patient continued to exhibit progressive disease. Conclusion: BS-related uveitis is characterized by severe ocular morbidity. Appropriate interdisciplinary treatment is necessary for the correct identification and management of the disease, considering the inherent difficulty in its diagnosis due to its diverse clinical manifestations. The severity of BS-related uveitis in this report highlights the need for more effective therapies.
first_indexed 2024-12-16T11:50:29Z
format Article
id doaj.art-d57cb400059b45e29ea3e152cc8639e5
institution Directory Open Access Journal
issn 2451-9936
language English
last_indexed 2024-12-16T11:50:29Z
publishDate 2020-06-01
publisher Elsevier
record_format Article
series American Journal of Ophthalmology Case Reports
spelling doaj.art-d57cb400059b45e29ea3e152cc8639e52022-12-21T22:32:44ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362020-06-0118Ophthalmological treatment of early-onset sarcoidosis/Blau syndrome in a Colombian child: A case reportMaría Alejandra Marín-Noriega, M.D.0Juliana Muñoz-Ortiz, M.D.1Catalina Mosquera, M.D.2Alejandra de-la-Torre, M.D., Ph.D.3NeURos Research Group. Escuela de Medicina y Ciencias de La Salud, Universidad Del Rosario, Carrera 24 # 63 C 69, Bogotá, ColombiaNeURos Research Group. Escuela de Medicina y Ciencias de La Salud, Universidad Del Rosario, Carrera 24 # 63 C 69, Bogotá, Colombia; Escuela Barraquer Research Group. Escuela Superior de Oftalmología del Instituto Barraquer de América, Avenida Calle 100 # 18A – 51, Bogotá, ColombiaPrograma de Reumatología Pediátrica. Universidad Del Bosque, Calle 131A #9-2, Bogotá, ColombiaNeURos Research Group. Escuela de Medicina y Ciencias de La Salud, Universidad Del Rosario, Carrera 24 # 63 C 69, Bogotá, Colombia; Corresponding author. Ophthalmologist, Uveitis Specialist. NeURos Research Group, Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Carrera 24 # 63 C 69, Bogotá, Colombia.Purpose: To report the ophthalmological approach of a patient with Blau syndrome (BS) in Colombia. Observations: We describe a 9-year-old Colombian boy with sporadic BS due to a de novo nucleotide-binding oligomerization domain containing 2 (NOD2) mutation, who presented with joint and dermatologic symptoms. He was referred to the uveitis service with a single functional eye, due to retinal detachment in the other eye. Despite treatment with corticosteroids, methotrexate, and adalimumab, the patient continued to exhibit progressive disease. Conclusion: BS-related uveitis is characterized by severe ocular morbidity. Appropriate interdisciplinary treatment is necessary for the correct identification and management of the disease, considering the inherent difficulty in its diagnosis due to its diverse clinical manifestations. The severity of BS-related uveitis in this report highlights the need for more effective therapies.http://www.sciencedirect.com/science/article/pii/S2451993619301203Blau syndromePanuveitisRetinal detachmentArthritisTherapy
spellingShingle María Alejandra Marín-Noriega, M.D.
Juliana Muñoz-Ortiz, M.D.
Catalina Mosquera, M.D.
Alejandra de-la-Torre, M.D., Ph.D.
Ophthalmological treatment of early-onset sarcoidosis/Blau syndrome in a Colombian child: A case report
American Journal of Ophthalmology Case Reports
Blau syndrome
Panuveitis
Retinal detachment
Arthritis
Therapy
title Ophthalmological treatment of early-onset sarcoidosis/Blau syndrome in a Colombian child: A case report
title_full Ophthalmological treatment of early-onset sarcoidosis/Blau syndrome in a Colombian child: A case report
title_fullStr Ophthalmological treatment of early-onset sarcoidosis/Blau syndrome in a Colombian child: A case report
title_full_unstemmed Ophthalmological treatment of early-onset sarcoidosis/Blau syndrome in a Colombian child: A case report
title_short Ophthalmological treatment of early-onset sarcoidosis/Blau syndrome in a Colombian child: A case report
title_sort ophthalmological treatment of early onset sarcoidosis blau syndrome in a colombian child a case report
topic Blau syndrome
Panuveitis
Retinal detachment
Arthritis
Therapy
url http://www.sciencedirect.com/science/article/pii/S2451993619301203
work_keys_str_mv AT mariaalejandramarinnoriegamd ophthalmologicaltreatmentofearlyonsetsarcoidosisblausyndromeinacolombianchildacasereport
AT julianamunozortizmd ophthalmologicaltreatmentofearlyonsetsarcoidosisblausyndromeinacolombianchildacasereport
AT catalinamosqueramd ophthalmologicaltreatmentofearlyonsetsarcoidosisblausyndromeinacolombianchildacasereport
AT alejandradelatorremdphd ophthalmologicaltreatmentofearlyonsetsarcoidosisblausyndromeinacolombianchildacasereport