Posterior Scleritis in a Pediatric Patient with IgA Vasculitis.

PURPOSE: To report a boy with IgA vasculitis (IgAV), who suffered two episodes of Posterior Scleritis (PS). This is the first reported case of this association.

METHODS

Case report based on medical record review.

RESULTS

A 13-year-old boy with IgAV presented with left eye (LE) pain. Although the eye examination was unremarkable, Magnetic resonance imaging (MRI) revealed PS; appropriate treatment was initiated, resulting in an excellent response. Later, a similar episode occurred in the right eye (RE) accompanied by a violaceus papule on the tip of the nose.

CONCLUSION

PS may be associated with IgAV in children. MRI was crucial to detect the PS in this case. Nonsteroidal anti-inflammatory drugs (NSAIDs) were effective first-line treatment.