Bilateral granulomatous sclerouveitis as initial manisfestation of leprosy: Case report Esclerouveítis granulomatosa bilateral como manifestación inicial de lepra; Informe de un caso
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Ocular manifestations of Mycobacterium leprae infection are usually underestimated when differentiating ocular inflammatory diseases. We report a case of a 57 year old male, rural background, with chief complaints of red eye, blurred vision, and dry eye symptoms. He was diagnosed as having bilateral granulomatous sclerouveitis. Skin biopsy was taken and diagnosis of leprosy was confirmed. Multi drug therapy and topical steroids were initiated achieving uveitis remission. Differential diagnosis of anterior uveitis is complex and although its etiology is frequently immunologic all infectious causes must be considered and ruled out before therapy is initiated. © 2010 Sociedad Mexicana de Oftalmología.