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See Latest ArticlesNummular keratopathy in a patient with Hyper-IgD Syndrome
Pediatric Rheumatology, 08/06/09
Kraus CL et al. – A 14–year–old boy with Hyperimmunoglobulinemia D syndrome (HIDS) presented with photophobia and ocular irritation concomitant with disease exacerbation. He was found on exam to have significant nummular keratitis, which responded to a short course of topical steroids. Despite acute response to local immunosuppression, the patient had several recurrent attacks and eventually developed a large corneal scar and decreased vision. After initiation of infliximab therapy his ocular sequelae improved dramatically and his vision returned to 20/20.
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