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2012, Number 2

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Gaceta Médica Espirituana 2012; 14 (2)

Ocular Whipple disease. Apropos of a case

Castro PYC, Bustillo GJL, Ruíz PM, Peral MI
Full text How to cite this article

Language: Spanish
References: 10
Page: 116-119
PDF size: 202.05 Kb.


Key words:

Whipple disease, diagnosis, treatment.

ABSTRACT

Background: Whipple disease is a rare entity with prevalence in white male patients. It appears between the fourth and sixth life decades. It is of interest the study and case reports of these ocular manifestations of this systemic pathology for its late appearance with a viability in signs and symptoms as well as changes in the epidemiological variables. Case presentation: It is based on a male patient with personal pathological history of 20 years of Whipple disease. He was referred to the uveitis consultation at Sancti Spiritus Provincial Ophthalmologic Centre in January 2012 complaining of ocular pain and vision decrease. After the ophthalmologic examination, acute anterior non granulomatose iridociclitis was diagnosed. Conclusions: Uveítis in Whippler disease is infrequent for its diagnosis and treatment are difficult.


REFERENCES

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  2. Chan RY, Yannuzzi LA, Foster CS. Ocular Whipple’s disease: Earlier definitive diagnosis. Ophthalmology. 2001 Dec; 108(12):2225-31. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11733263

  3. Fenollar F, Raoult D. Whipple's Disease. Clin Diagn Lab Immunol. 2001 Jan; 8(1):1-8. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC96003/?tool=pubmed

  4. Drancourt M, Fenollar F, Denis D, Raoult D. Postoperative panophthalmitis caused by whipple disease. Emerg Infect Dis. 2009 May; 15(5):825-7. Available from: http://wwwnc.cdc.gov/eid/article/15/5/08-1209_article.htm

  5. Gupta A, Gupta V, Herbort C, Khairallah M. Uveitis text and imaging. Bogota: JAYPEE; 2009.p. 618-22. Available from: http://laeditorialmedica.net/store/index.php/libreriamedica_es/uveitis-text-and-imaging.html

  6. American Academy of Ophthalmogy. Intraocular Inflammation and Uveitis. Section 9. Singapure: American Academy of Ophthalmology; 2009.p.292-93.

  7. Razonable RR, Pulido JS, Deziel PJ, Dev S, Salomão DR, Walker RC. Chorioretinitis and vitreitis due to Tropheryma Whipple after transplantation: case report and review. Transpl Infect Dis. 2008 Dec; 10(6):413-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18564981

  8. Kapur S. Whipple ´s Disease. Encycopledia of Momevement Disorders. 2010Mar; 329-32.Disponible en: http://www.axon.es/axon/LibroFicha.asp?Libro=76646&T=ENCYCLOPEDIA+OF+MOVEMENT+DISORDERS%2C+3-VOLUME+SET

  9. Valle D, Fernández R, Sánchez J. Actualización en el tratamiento de las uveítis. Comunicación Solicitada 83 Congreso de Oftalmología. Palmas Gran Canaria: Sociedad Española de Oftalmología; 2007.p.261-62.

  10. Thaler S, Grisanty S, Klingel K, Raible A, Kempf V. Intermediate uveitis and arthralgia as early symptoms in Whipple’s disease. Int J Infect Dis. 2010 Sep;14(supl.3):388-9. Available from:http://www.ijidonline.com/article/S1201-9712%2810%2902310-6/fulltext




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Gaceta Médica Espirituana. 2012;14