Quiz on anterior uveitis by Rheuma Tv 75 Quiz on anterior uveitis 1 / 6 Berlin’s nodule can be seen in which condition? Tuberculosis Sarcoidosis Hansen’s disease Herpes Zoster 2 / 6 Fuchs’ uveitis syndrome is characterized by all of the following features except Heterochromia of the iris Complicated cataract Secondary glaucoma Posterior synechiae 3 / 6 VZV anterior uveitis is characterised by Diffuse patchy iris atrophy Absence of iris atrophy Sectoral Iris atrophy Hypotony 4 / 6 A 44-year-old gentleman presents with complaints of back stiffness with radiological features of ‘dagger spine sign’. He also complained of redness, pain, and photophobia in the left eye for 2 days. Which of the following are the tests would you like to assess in this case? Mantoux test HLA B27 test Serum ACE levels ANA profile HLA B27 test - Ankylosing spondylitis is a common rheumatological disease of young adults, predominantly males, with HLA B27 positive alleles. Back stiffness due to chronic inflammatory disease may show radiological signs such as bamboo spine sign due to continuous syndesmophytes, dagger spine sign of continuous ossification of interspinous and supraspinous ligaments, squared vertebral bodies, and chalk stick fracture. Characteristic ocular features of unilateral, typically recurrent, and alternating, acute non-granulomatous anterior uveitis is seen. 5 / 6 A 7-year-old boy presents with hypopyon anterior uveitis in the right eye. Which of the following tests will be LEAST considered to make a diagnosis of his systemic condition? HLA-B27 HLA-B51 Antinuclear antibodies Chest radiology for hilar lymphadenopathy Chest radiology for hilar lymphadenopathy - Common causes of hypopyon anterior uveitis are HLA-B27 associated uveitis, Behçet’s disease, and juvenile idiopathic arthritis. Infections and masquerades must always be ruled out in such pediatric and elderly patients. Hypopyon uveitis is extremely rare in sarcoidosis. 6 / 6 A 5-year-old girl presents with complaints of fever, papular skin rashes, and swollen knee joints, wrists, and ankles bilaterally. Ocular examination revealed the presence of chronic bilateral granulomatous anterior uveitis with conjunctival cysts. Her mother and 10-year-old brother also had similar symptoms. All the following tests may be necessary to make a diagnosis in this case, EXCEPT? Urine Beta-2 microglobulin Anti-nuclear antibodies Anterior chamber tap for mycobacterium tuberculosis Histological evaluation of skin biopsy Urine Beta-2 microglobulin- Blau Syndrome or juvenile sarcoidosis is an underdiagnosed entity in India, especially when ocular and joint presentations inappropriately suggest a diagnosis of either JIA or tubercular uveitis among others. When treating very young children with arthritis and uveitis it is important to consider this diagnosis, particularly where there is a familial recurrence, even in the absence of classical signs in all the patients. Aggressive management of uveitis and arthritis is key to successful management to avoid morbidity. TINU presents as symptomatic (redness, pain, photophobia), bilateral, acute-onset non-granulomatous anterior uveitis in children that is associated with the diagnosis of interstitial nephritis. Your score is LinkedIn Facebook Twitter VKontakte Take this multiple-choice self-quiz and test your knowledge of anterior uveitis. Share this:TwitterFacebookLinkedInPinterestWhatsAppMorePrint Similar Posts